Healthcare Provider Details

I. General information

NPI: 1366352635
Provider Name (Legal Business Name): JASIA CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 ALAMOSA PARK DR
OCEANSIDE CA
92057-6303
US

IV. Provider business mailing address

5171 ALAMOSA PARK DR
OCEANSIDE CA
92057-6303
US

V. Phone/Fax

Practice location:
  • Phone: 858-837-1416
  • Fax:
Mailing address:
  • Phone: 858-837-1416
  • Fax:

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: MCJAVEDROUF TALUKDER
Title or Position: LICENSEE
Credential:
Phone: 858-837-1416