Provider Demographics
NPI:1124178983
Name:JAN & GAIL'S CARE HOMES INC
Entity Type:Organization
Organization Name:JAN & GAIL'S CARE HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN /ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SOLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-788-9638
Mailing Address - Street 1:2115 REAGAN ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-8327
Mailing Address - Country:US
Mailing Address - Phone:559-788-9638
Mailing Address - Fax:558-688-3611
Practice Address - Street 1:134 N SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-3540
Practice Address - Country:US
Practice Address - Phone:559-686-3090
Practice Address - Fax:558-688-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
315P00000X
CA120000637320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC 80230FMedicaid