Provider Demographics
NPI:1639932403
Name:JOY CARE HOME LLC
Entity Type:Organization
Organization Name:JOY CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KADIGUIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:LINAYAO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:818-793-4263
Mailing Address - Street 1:22521 REDBEAM AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2026
Mailing Address - Country:US
Mailing Address - Phone:818-793-4263
Mailing Address - Fax:909-614-7255
Practice Address - Street 1:22521 REDBEAM AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2026
Practice Address - Country:US
Practice Address - Phone:818-793-4263
Practice Address - Fax:909-614-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility