JKC HOME – NPI #1205099942
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

JKC HOME is a community based residential treatment facility located in LA MIRADA, CA. NPPES has assigned the NPI number 1205099942 to JKC HOME on July 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JKC HOME” is a dba name, the actual legal business name for this organization is D&D MANOR INC.. 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 JKC HOME below.

NPI Profile for
D&D MANOR INC.

NPI Number
1205099942
Enumeration Date

(about 18 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
D&D MANOR INC.
Doing Business As (dba): JKC HOME
Primary location
15561 ASHGORVE DRIVE
LA MIRADA, CA 90638
Phone: (714) 994-3497 Fax:
Mailing address
5419 LORELEI AVE
LAKEWOOD, CA 90712-2036
Phone: (562) 866-3324 Fax:
Organization Subpart
Yes - JKC HOME is subpart of another organization.
Authorized Official
DOMINGO ABARQUEZ
PRESIDENT
Phone: (562) 866-3324
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 306003493

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.