Provider Demographics
NPI:1407618341
Name:JCABRERAS, LLC
Entity Type:Organization
Organization Name:JCABRERAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-504-1693
Mailing Address - Street 1:1455 TAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-2537
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1455 TAYLOR LN
Practice Address - Street 2:
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-2537
Practice Address - Country:US
Practice Address - Phone:707-385-7548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JCABRERAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care