MSJI HOME INC – NPI #1104057496
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

MSJI HOME INC is a community based residential treatment facility located in SAN DIMAS, CA. NPPES has assigned the NPI number 1104057496 to MSJI HOME INC on August 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MSJI HOME INC below.

NPI Profile for
MSJI HOME INC

NPI Number
1104057496
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MSJI HOME INC
Primary location
1324 JUANITA AV
SAN DIMAS, CA 91773
Phone: (909) 592-6003 Fax: (909) 592-3432
Mailing address
P.O. BOX 4861
SANDIMAS, CA 91773
Phone: (909) 592-6003 Fax: (909) 592-3432
Organization Subpart
No
Authorized Official
JAYDEV BHAVSAR
ADMINISTRATOR
Phone: (909) 592-6003
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 CA 197801816

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.