CASIMIRO D JOSE JR.
NPI 1407688831
Custodial Care Facility - Adult Care Home in Corona, CA

Active since August 15, 2024
2667 CHERRYBARK LN, CORONA, CA 92881(951) 415-0502(951) 432-7542 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Casimiro D Jose Jr. NPPES

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

CASIMIRO D JOSE JR. (NPI 1407688831) is an individual adult care home provider in Corona, California, licensed in California (336408225) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1407688831
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameCASIMIRO D JOSE JR.
Location Address2667 CHERRYBARK LNCorona, CA 92881-3531
Mailing Address2667 Cherrybark LnCorona, CA 92881-3531 · (951) 415-0502 · Fax (951) 432-7542
Fax(951) 432-7542
Sole ProprietorYes
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
NPI 1407688831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in CA · 336408225
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2667 CHERRYBARK LN, Corona, CA 92881

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 Casimiro Jose's NPI number?

The NPI number for Casimiro Jose is 1407688831. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Casimiro Jose located?

Casimiro Jose practices at 2667 Cherrybark Ln, Corona, CA 92881. The listed phone number is (951) 415-0502.

What is Casimiro Jose's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Casimiro Jose was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.