Provider Demographics
NPI:1477538114
Name:J & J HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:J & J HEALTH CARE SERVICES INC
Other - Org Name:GREENHILLS MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR RN
Authorized Official - Phone:408-379-8114
Mailing Address - Street 1:238 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3908
Mailing Address - Country:US
Mailing Address - Phone:408-379-8114
Mailing Address - Fax:408-379-0659
Practice Address - Street 1:238 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3908
Practice Address - Country:US
Practice Address - Phone:408-379-8114
Practice Address - Fax:408-379-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA070000041314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR06049JMedicaid
CA555841Medicare Oscar/Certification