MEDICARE: JAR-CV ENTERPRISES , 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	251E00000X	Home Health Agency	250000783	CA

General Provider Information

NPI Number	:	1821091380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAR-CV ENTERPRISES , INC

Provider Business Mailing Address
First Line	:	12362 BEACH BLVD.
Second Line	:	STE.5
City	:	STANTON
State	:	CA
Zip	:	90680-3956
Country	:	US
Telephone Number	:	951-352-4400
Fax Number	:	951-352-4440

Provider Business Practice Location Address
First Line	:	12362 BEACH BLVD.
Second Line	:	STE.5
City	:	STANTON
State	:	CA
Zip	:	90680-3956
Country	:	US
Telephone Number	:	951-352-4400
Fax Number	:	951-352-4440

Authorized Official
Title or Position	:	CFO
Name	:	MR. ALFONSO B PINTOR
Credential	:
Telephone Number	:	951-352-4400

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	01/17/2023

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