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JO MI ICF DDN FACILITIES
NPI 1316085947
Nursing Facility/Intermediate Care Facility in West Covina, CA

Active since February 04, 2007
2128 SHIRLEE ST, WEST COVINA, CA 91792(626) 854-0670 Get Directions Write a Review

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

About Jo Mi Icf Ddn Facilities NPPES

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

JO MI ICF DDN FACILITIES (NPI 1316085947) is a healthcare organization registered as a nursing facility/intermediate care facility in West Covina, California and active in the NPI registry since February 2007. The organization lists Roger V. Cuevas, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1316085947
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameJO MI ICF DDN FACILITIES
Location Address2128 SHIRLEE STWest Covina, CA 91792-2431
Mailing Address1849 Ayers WayBurbank, CA 91501-1106 · (818) 841-1044 · Fax (818) 841-4403
Phone(626) 854-0670
Organization SubpartNo
Authorized OfficialRoger V. CuevasBusiness Manager · (818) 841-1044
Enumeration DateFebruary 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316085947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
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.
2128 SHIRLEE ST, West Covina, CA 91792
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Other Identifiers 3

OtherLTC80142FCA · Long Term Care
OtherLTC80031FCA · Long Term Care
OtherLTC80382FCA · Long Term 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 Jo Mi Icf Ddn Facilities's NPI number?

The NPI number for Jo Mi Icf Ddn Facilities is 1316085947. It was assigned to this organization in the NPPES registry on February 4, 2007.

Where is Jo Mi Icf Ddn Facilities located?

Jo Mi Icf Ddn Facilities is located at 2128 Shirlee St, West Covina, CA 91792. The listed phone number is (626) 854-0670.

What is Jo Mi Icf Ddn Facilities's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Jo Mi Icf Ddn Facilities 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.