Provider Demographics
NPI:1821551607
Name:JC HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:JC HEALTH CARE SERVICES, INC.
Other - Org Name:EXCEPTIONAL HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:TRAM
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-390-7428
Mailing Address - Street 1:2315 KUEHNER DR STE 112
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3960
Mailing Address - Country:US
Mailing Address - Phone:805-750-1131
Mailing Address - Fax:805-791-3489
Practice Address - Street 1:2315 KUEHNER DR STE 112
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3960
Practice Address - Country:US
Practice Address - Phone:805-750-1131
Practice Address - Fax:805-791-3489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JC HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-09
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health