JLAB INC


Address: 10650 54th Street, Mira Loma, CA 91752-2231
Phone: 9516859000

JLAB INC (NPI# 1437783677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437783677
Entity Type Organization
Organization Name JLAB INC
Practice Address 10650 54th Street
Mira Loma
CA 91752-2231
Practice Telephone 9516859000
Practice Fax Number 9516859000
Mailing Telephone 9516859000
Mailing Fax Number 9516859000
Enumeration Date 2020-02-26
Last Update Date 2020-02-26
Authorized Official Name MRS. LILIBETH SAMSON (OWNER, ADMINISTRATOR)
Authorized Official Telephone 9512647933
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
CASA MIA Doing Business As Name - Organization

Office Location

Street Address 10650 54TH STREET
City MIRA LOMA
State CA
Zip Code 91752-2231

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Competitor

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City MIRA LOMA
Zip Code 91752

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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