MEDICARE: JADE AND JUDE HOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1629937081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JADE AND JUDE HOMES

Provider Business Mailing Address
First Line	:	8533 WOODLEY AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5716
Country	:	US
Telephone Number	:	747-236-4677
Fax Number	:

Provider Business Practice Location Address
First Line	:	8533 WOODLEY AVE
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5716
Country	:	US
Telephone Number	:	747-236-4677
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAYA MCCOY
Credential	:
Telephone Number	:	747-248-2715

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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