# JOHNRE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912950932
- **Authorized official:** JOHNNY SICAT (PRESIDENT)
- **Authorized official phone:** (951) 313-5685

## Contact information

- **Practice address:** 461 E JOHNSTON AVE, HEMET, CA 92543-7113
- **Practice address phone:** (951) 658-6374
- **Practice address fax:** (951) 658-5263
- **Mailing address:** 16162 PONDEROSA LN, RIVERSIDE, CA 92504-6155
- **Mailing address phone:** (951) 780-5348
- **Mailing address fax:** (951) 780-5348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020