JOMI ICFDDN
NPI 1801937214
Nursing Facility/Intermediate Care Facility in West Covina, CA

Q: What is Jomi Broadmoor Icfddn's NPI number?

The NPI number for Jomi Broadmoor Icfddn is 1801937214. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Jomi Icfddn.

Q: What is Jomi Broadmoor Icfddn's specialty?

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

Active since February 09, 2007

1547 S BROADMOOR AVE, WEST COVINA, CA 91790(626) 917-1833(818) 841-4403 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jomi Icfddn NPPES

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

JOMI ICFDDN (NPI 1801937214) 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

NPI1801937214

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameJOMI BROADMOOR ICFDDN

Location Address1547 S BROADMOOR AVEWest Covina, CA 91790-4709

Mailing Address1849 Ayers WayBurbank, CA 91501-1106 · (818) 841-1044 · Fax (818) 841-4403

Phone(626) 917-1833

Fax(818) 841-4403

Organization SubpartNo

Authorized OfficialRoger V CuevasBusiness Manager · (818) 841-1044

Enumeration DateFebruary 9, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801937214 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.

1547 S BROADMOOR AVE, West Covina, CA 91790

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Other Names 1

Doing Business AsJomi Icfddn

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 Jomi Broadmoor Icfddn's NPI number?

The NPI number for Jomi Broadmoor Icfddn is 1801937214. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Jomi Icfddn.

Where is Jomi Broadmoor Icfddn located?

Jomi Broadmoor Icfddn is located at 1547 S Broadmoor Ave, West Covina, CA 91790. The listed phone number is (626) 917-1833.

What is Jomi Broadmoor Icfddn'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 Jomi Broadmoor Icfddn 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.