Healthcare Provider Details

I. General information

NPI: 1003764309
Provider Name (Legal Business Name): JAHH PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4611 S WILTON PL
LOS ANGELES CA
90062-1948
US

IV. Provider business mailing address

8939 S SEPULVEDA BLVD STE 110-204
LOS ANGELES CA
90045-3631
US

V. Phone/Fax

Practice location:
  • Phone: 310-433-3246
  • Fax:
Mailing address:
  • Phone: 310-433-3246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: KIARA DAIGRE
Title or Position: PRESIDENT
Credential:
Phone: 310-433-3246