HOLY INFANT JESUS CARE HOME, INC. (NPI# 1801030457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801030457 |
| Entity Type | Organization |
| Organization Name | HOLY INFANT JESUS CARE HOME, INC. |
| Practice Address |
18812 Highcastle St La Puente CA 91744-6140 |
| Practice Telephone | 6262536949 |
| Practice Fax Number | 9095942700 |
| Mailing Telephone | 6262536949 |
| Mailing Fax Number | 9095942700 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | DR. GERARDO OLIVAR PASCUAL (PRESIDENT) |
| Authorized Official Telephone | 6262536949 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 3138462 | CA | Nursing & Custodial Care Facilities |
| Street Address |
18812 HIGHCASTLE ST |
| City | LA PUENTE |
| State | CA |
| Zip Code | 91744-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
| 1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
| 1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
| 1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
| 1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
| 1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
| 1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
| 1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
| 1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
| 1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
| Find all providers in zip 91744 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386884856 | St. Mary Joseph Homes Inc | Nursing Facility/Intermediate Care Facility | 113 N Sandalwood Ave, La Puente, CA 91744-5239 | 2009-02-24 |
| 1922289644 | Rcn Pediatric Care IIi | Nursing Facility/Intermediate Care Facility | 1429 Greenberry Dr, La Puente, CA 91744-1046 | 2007-11-21 |
| 1295916914 | Rcn Pediatric Care II | Nursing Facility/Intermediate Care Facility | 15525 Fellowship St, La Puente, CA 91744-1114 | 2007-11-21 |
| 1851572572 | Rcn Pediatric C Are | Nursing Facility/Intermediate Care Facility | 1520 N Hacienda Blvd, La Puente, CA 91744-1134 | 2007-11-21 |
| 1871921478 | Double Gsg, Inc. | Nursing Facility/Intermediate Care Facility | 113 N Sandalwood Ave, La Puente, CA 91744-5239 | 2013-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472707 | Hollywood Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 13307 Stagg St, North Hollywood, CA 91605-1736 | 2020-06-22 |
| 1154944510 | Encourage Homes Inc. | Nursing Facility/Intermediate Care Facility | 9227 Cayuga Ave, Sun Valley, CA 91352-9135 | 2020-05-20 |
| 1831722255 | Laurel House Icf | Nursing Facility/Intermediate Care Facility | 226 N Laurel Ave, Upland, CA 91786-5936 | 2020-02-13 |
| 1588295224 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 19640 Bermuda St, Chatsworth, CA 91311-1908 | 2020-01-31 |
| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.