Healthcare Provider Details

I. General information

NPI: 1871421941
Provider Name (Legal Business Name): JM TRANSITIONAL HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3337 W FLORIDA AVE STE 1001
HEMET CA
92545-3513
US

IV. Provider business mailing address

3337 W FLORIDA AVE STE 1001
HEMET CA
92545-3513
US

V. Phone/Fax

Practice location:
  • Phone: 951-745-6191
  • Fax:
Mailing address:
  • Phone: 951-745-6191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MYESHA JOHNSON
Title or Position: CEO
Credential:
Phone: 957-745-6191