Provider Demographics
NPI:1639320005
Name:JCL HOME CARE SERVICES INC.
Entity Type:Organization
Organization Name:JCL HOME CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:LANSANGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-321-7338
Mailing Address - Street 1:23948 CALIFA ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2955
Mailing Address - Country:US
Mailing Address - Phone:818-992-7665
Mailing Address - Fax:818-500-7315
Practice Address - Street 1:23948 CALIFA ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2955
Practice Address - Country:US
Practice Address - Phone:818-992-7665
Practice Address - Fax:818-500-7315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility