Provider Demographics
NPI:1760198444
Name:JSTAR HOME CARE INC.
Entity Type:Organization
Organization Name:JSTAR HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAQUINA
Authorized Official - Middle Name:WINTERS
Authorized Official - Last Name:SHINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-930-4313
Mailing Address - Street 1:17428 SYBRANDY AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8139
Mailing Address - Country:US
Mailing Address - Phone:310-930-4313
Mailing Address - Fax:
Practice Address - Street 1:17428 SYBRANDY AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-8139
Practice Address - Country:US
Practice Address - Phone:310-930-4313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities