TARA DIVISION
NPI 1174662787
Intermediate Care Facility, Intellectual Disabilities in Loma Linda, CA

Active since February 06, 2007CLIA 05D2026421 · Waiver
1695 ROSENA AVE, LOMA LINDA, CA 92354(909) 796-0629 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Division NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA DIVISION (NPI 1174662787) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Loma Linda, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Becky J Joseph, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1174662787
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameJONBEC CARE INC.
Location Address1695 ROSENA AVELoma Linda, CA 92354-1745
Mailing AddressPo Box 10788San Bernardino, CA 92423-0788 · (909) 798-4003
Organization SubpartNo
Authorized OfficialBecky J JosephC.f.o. · (909) 798-4003
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174662787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1695 ROSENA AVE, Loma Linda, CA 92354

Other Names 1

Doing Business AsTara Division

Other Identifiers 1

MedicaidLTC60089ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2026421

Tara Division · Loma Linda, CA
Active · expires Jun 29, 2027
CLIA Number05D2026421
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorSharon Riesen
Laboratory Phone(909) 796-0629
Laboratory LocationTara Division1695 Rosena Ave, Loma Linda, CA 92354
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonbec Care Inc.'s NPI number?

The NPI number for Jonbec Care Inc. is 1174662787. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Tara Division.

Where is Jonbec Care Inc. located?

Jonbec Care Inc. is located at 1695 Rosena Ave, Loma Linda, CA 92354. The listed phone number is (909) 796-0629.

What is Jonbec Care Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Jonbec Care Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2026421) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jonbec Care Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.