Healthcare Provider Details

I. General information

NPI: 1356713135
Provider Name (Legal Business Name): JMJ CARESERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2015
Last Update Date: 09/02/2025
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9127 N BACKER AVE
FRESNO CA
93720-4113
US

IV. Provider business mailing address

2557 E GOSHEN AVE
FRESNO CA
93720-0503
US

V. Phone/Fax

Practice location:
  • Phone: 559-721-5483
  • Fax: 800-496-0381
Mailing address:
  • Phone: 559-704-6796
  • Fax: 800-496-0381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: ARLENE PALLANAN BAUTISTA
Title or Position: MANAGING MEMBER / ADMINISTRATOR
Credential: BSN, RN
Phone: 559-704-6796