Individual provider · Type 1 NPI
Jatonn Parham
Assisted Living Facility · San Bernardino, CA
NPI number
1801711940
Active
Practice location
604 W 40th St
San Bernardino, CA 92407-3578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Community Based Hospice Care Agency | 251G00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| PACE Provider Organization | 251T00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Physical Disabilities Residential Treatment Facility | 320700000X | None listed |
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1801711940
Jatonn Parham's National Provider Identifier is 1801711940, issued on Aug 10, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 10, 2026.