Healthcare Provider Details
I. General information
NPI: 1144340746
Provider Name (Legal Business Name): JAN & GAIL'S CARE HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3345 W MONTE VISTA CT
VISALIA CA
93277-7117
US
IV. Provider business mailing address
2115 REAGAN ST
TULARE CA
93274-8327
US
V. Phone/Fax
- Phone: 559-636-1822
- Fax: 559-688-3611
- Phone: 559-685-1988
- Fax: 559-688-3611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 315P00000X |
| Taxonomy | Intellectual Disabilities Intermediate Care Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 550000164 |
| License Number State | CA |
VIII. Authorized Official
Name:
GAIL
LOUISE
SOLORIO
Title or Position: ADMINISTRATOR
Credential: RN, FNP
Phone: 559-788-9638