Provider Demographics
NPI:1598189128
Name:RAMIRO, JEAN REYES DBA J.R.R. CAREHOME
Entity Type:Organization
Organization Name:RAMIRO, JEAN REYES DBA J.R.R. CAREHOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-677-0245
Mailing Address - Street 1:94-564 ANAAINA PL
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2858
Mailing Address - Country:US
Mailing Address - Phone:808-677-0245
Mailing Address - Fax:
Practice Address - Street 1:94-564 ANAAINA PL
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2858
Practice Address - Country:US
Practice Address - Phone:808-677-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness