GENUINE QUEENA JCL CARE
NPI 1174971865
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Antonio, TX

Active since June 03, 2016
3730 S LOOP 1604 E, SAN ANTONIO, TX 78264(210) 649-5653 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genuine Queena Jcl Care NPPES

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

GENUINE QUEENA JCL CARE (NPI 1174971865) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in San Antonio, Texas and active in the NPI registry since June 2016. The organization lists Lkiendria Trischuan Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174971865
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameGENUINE QUEENS JCL CARE
Location Address3730 S LOOP 1604 ESan Antonio, TX 78264-9551
Mailing AddressPo Box 10306San Antonio, TX 78210-0306 · (210) 649-5653
Organization SubpartNo
Authorized OfficialLkiendria Trischuan JohnsonOwner · (210) 649-5653
Enumeration DateJune 3, 2016
NPI 1174971865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
3730 S LOOP 1604 E, San Antonio, TX 78264

Other Names 1

Doing Business AsGenuine Queena Jcl Care

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 Genuine Queens Jcl Care's NPI number?

The NPI number for Genuine Queens Jcl Care is 1174971865. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider is doing business as Genuine Queena Jcl Care.

Where is Genuine Queens Jcl Care located?

Genuine Queens Jcl Care is located at 3730 S Loop 1604 E, San Antonio, TX 78264. The listed phone number is (210) 649-5653.

What is Genuine Queens Jcl Care's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Genuine Queens Jcl Care was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.