Healthcare Provider Details

I. General information

NPI: 1487263968
Provider Name (Legal Business Name): J & E HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 02/14/2021
Certification Date: 02/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 LARCHMONT DR
DALY CITY CA
94015-3637
US

IV. Provider business mailing address

5232 MAKATI CIR
SAN JOSE CA
95123-6244
US

V. Phone/Fax

Practice location:
  • Phone: 408-674-8394
  • Fax:
Mailing address:
  • Phone: 408-674-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JULIETA TORRES ABAD
Title or Position: CEO & PRESIDENT
Credential:
Phone: 408-674-8394