Healthcare Provider Details

I. General information

NPI: 1487592853
Provider Name (Legal Business Name): JMJ MATERNITY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1694 GROVE AVE
ATWATER CA
95301-3536
US

IV. Provider business mailing address

1694 GROVE AVE
ATWATER CA
95301-3536
US

V. Phone/Fax

Practice location:
  • Phone: 209-769-7092
  • Fax:
Mailing address:
  • Phone: 209-769-7092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LORI SCHIFFBAUER
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 209-930-0843