Provider Demographics
NPI:1689830499
Name:JSI ACQUISITION, INC.
Entity Type:Organization
Organization Name:JSI ACQUISITION, INC.
Other - Org Name:ALTERNATIVE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISTRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-902-5000
Mailing Address - Street 1:5805 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2546
Mailing Address - Country:US
Mailing Address - Phone:818-902-5000
Mailing Address - Fax:818-902-5008
Practice Address - Street 1:5805 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 740
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2546
Practice Address - Country:US
Practice Address - Phone:818-902-5000
Practice Address - Fax:818-902-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980000470251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health