Healthcare Provider Details

I. General information

NPI: 1780577643
Provider Name (Legal Business Name): JNH HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 OCASO AVE
BUENA PARK CA
90621-1219
US

IV. Provider business mailing address

17818 VIERRA AVE
CERRITOS CA
90703-9052
US

V. Phone/Fax

Practice location:
  • Phone: 714-403-1519
  • Fax:
Mailing address:
  • Phone: 714-403-1519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JON PAUL NADRES
Title or Position: CEO
Credential: RN
Phone: 714-403-1519