Provider Demographics
NPI:1457656522
Name:JCH MEDCARE SERVICES, LLC
Entity Type:Organization
Organization Name:JCH MEDCARE SERVICES, LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FIDEL
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:NAVATA
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS MANAGEMENT
Authorized Official - Phone:562-251-7686
Mailing Address - Street 1:733 W CARSON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2106
Mailing Address - Country:US
Mailing Address - Phone:562-251-7686
Mailing Address - Fax:310-868-1945
Practice Address - Street 1:733 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2106
Practice Address - Country:US
Practice Address - Phone:562-251-7686
Practice Address - Fax:310-868-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001377251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based