MEDICARE: JOYFUL CARE CAREGIVING SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215495023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL CARE CAREGIVING SERVICES, INC.

Provider Business Mailing Address
First Line	:	5182 KATELLA AVE STE 103A
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2850
Country	:	US
Telephone Number	:	562-402-1890
Fax Number	:	562-865-6453

Provider Business Practice Location Address
First Line	:	5182 KATELLA AVE STE 103A
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2850
Country	:	US
Telephone Number	:	562-402-1890
Fax Number	:	562-865-6453

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RODERICK RAGAY DEGAMO
Credential	:
Telephone Number	:	562-402-1890

Provider Enumeration Date	:	03/11/2019
Last Update Date	:	02/14/2023

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