Healthcare Provider Details

I. General information

NPI: 1336276054
Provider Name (Legal Business Name): JAN & GAIL'S CARE HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 N OAKS ST
TULARE CA
93274-1331
US

IV. Provider business mailing address

1727 N OAKS ST
TULARE CA
93274-1331
US

V. Phone/Fax

Practice location:
  • Phone: 559-686-3538
  • Fax: 559-688-3611
Mailing address:
  • Phone: 559-686-3538
  • Fax: 559-688-3611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number120000653
License Number StateCA

VIII. Authorized Official

Name: MS. GAIL LOUISE SOLORIO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 559-788-9638