Provider Demographics
NPI:1952028441
Name:E & J CARE PROVIDER, INC.
Entity Type:Organization
Organization Name:E & J CARE PROVIDER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIETA
Authorized Official - Middle Name:TORRES
Authorized Official - Last Name:ABAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-674-8394
Mailing Address - Street 1:5232 MAKATI CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-6244
Mailing Address - Country:US
Mailing Address - Phone:408-674-8394
Mailing Address - Fax:
Practice Address - Street 1:3262 SANTA ISABELLA CT
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2736
Practice Address - Country:US
Practice Address - Phone:408-674-8394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities