Jomi Icfddn

LBN: Jomi Broadmoor Icfddn
Jomi Icfddn is an health care organization with primary practice located at 1547 S Broadmoor Ave , West Covina CA 91790-4709. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Jomi Broadmoor Icfddn can be contacted via phone (626) 917-1833, or through Cuevas, Roger V via phone (818) 841-1044.

Contact Information

Primary practice address
1547 S Broadmoor Ave West Covina CA 91790-4709
Phone: (626) 917-1833
Fax: (818) 841-4403
Website:
Map and Directions
Authorized official contact:
Name: Cuevas, Roger V
Phone: (818) 841-1044

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X California

Profile Details

NPI number 1801937214
LBN Legal business name Jomi Broadmoor Icfddn
DBA Doing business as Jomi Icfddn
Authorized official Cuevas, Roger V
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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