JOMI ICFDDN
NPI 1801937214
Nursing Facility/Intermediate Care Facility in West Covina, CA
- Organization
- Nursing Facility/Intermediate Care Facil...
About JOMI ICFDDN
This page provides the complete NPI Profile along with additional information for Jomi Icfddn, a provider established in West Covina, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1801937214 assigned on February 2007. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Jomi Icfddn. The authorized official of this NPI record is Mr. Roger V Cuevas (Business Manager)
- NPI
- 1801937214 Verify this NPI
- Provider Legal Name
- JOMI BROADMOOR ICFDDN
- Other Organization Name
- JOMI ICFDDN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1547 S BROADMOOR AVE WEST COVINA, CA 91790
- Location Phone
- (626) 917-1833
- Location Fax
- (818) 841-4403
- Mailing Address
- 1849 AYERS WAY BURBANK, CA 91501
- Mailing Phone
- (818) 841-1044
- Mailing Fax
- (818) 841-4403
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-09-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License State
- CA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801937214, enumerated as an "organization" on February 09, 2007.
The provider is located at 1547 S BROADMOOR AVE WEST COVINA, CA 91790 and the phone number is (626) 917-1833.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
