NPIMap

Organization Active NPI

Jefferson County Public Health Service

  • Home Health Agency
  • Watertown, NY
National Provider Identifier
1043213283
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2201600 Issued in NY
Legal business name
JEFFERSON COUNTY PUBLIC HEALTH SERVICE
Practice address
531 Meade St
Watertown, NY 13601-1225
Phone
(315) 786-3770
Fax
(315) 786-3761
NPI assigned
May 23, 2005
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen A Jennings
Title
Public Health Director
Phone
(315) 786-3715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2201600 NY Primary

Addresses

Primary practice location

531 Meade St
Watertown, NY 13601-1225

Mailing address

531 Meade St
Watertown, NY 13601-1225
Phone (315) 786-3770

Other identifiers 2

IdentifierTypeStateIssuer
00583615MedicaidNY
00895487MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000781 NY Part A Provider - Home Health Agency 8820120652 Practice locations: Watertown, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043213283. Details of each certification follow.

Home health agency certification: CCN 337056

Legal name
JEFFERSON COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Oct 16, 2020
Ownership / control type
Government Operated
Organization structure
GovernmentNon-profit
Incorporated
in NY
Enrollment address
531 Meade St
Watertown, NY 13601-1225

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Jefferson Co Pub HLTH SVS ChhaCCN 337056 · All quality measures
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Community Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen a Jennings Individual W-2 Managing EmployeeHealth Planner Nov 14, 2017
Ginger B Hall Individual W-2 Managing EmployeeDirector of Public Health May 27, 2010
Bert G Burnham Individual W-2 Managing EmployeePublic Health Fiscal Director Nov 14, 2017
Jefferson County Organization, Watertown, NY 5% Or Greater Direct Ownership Interest May 27, 2010 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1043213283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MEADE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011225",
            "telephone_number": "315-786-3770",
            "fax_number": "315-786-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MEADE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011225",
            "telephone_number": "315-786-3770",
            "fax_number": "315-786-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY PUBLIC HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "315-786-3715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2201600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583615",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.