Healthcare Provider Details

I. General information

NPI: 1295134302
Provider Name (Legal Business Name): JVTCM CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 3RD AVE
WALNUT CREEK CA
94597-2606
US

IV. Provider business mailing address

1621 3RD AVE
WALNUT CREEK CA
94597-2606
US

V. Phone/Fax

Practice location:
  • Phone: 925-934-8827
  • Fax: 925-291-2868
Mailing address:
  • Phone: 925-934-8827
  • Fax: 925-291-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number075601441
License Number StateCA

VIII. Authorized Official

Name: VICTORIA MENDOZA LINGBANAN
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 925-934-8827