Provider Demographics
NPI:1215187729
Name:JADE MANAGED HEALTH CARE CORP
Entity Type:Organization
Organization Name:JADE MANAGED HEALTH CARE CORP
Other - Org Name:MONARCH HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:JAYA
Authorized Official - Last Name:DUNQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-689-8374
Mailing Address - Street 1:2112 N MAIN ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2739
Mailing Address - Country:US
Mailing Address - Phone:714-541-1509
Mailing Address - Fax:714-541-1539
Practice Address - Street 1:2112 N MAIN ST
Practice Address - Street 2:SUITE 280
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2739
Practice Address - Country:US
Practice Address - Phone:714-541-1509
Practice Address - Fax:714-541-1539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health