Jubilee Health Ventures, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JUBILEE HEALTH VENTURES, LLC

Practice address

4637 Colonel Fenwick PL
Upper Marlboro, MD 20772-5924

Phone

(240) 510-3331

Fax

(240) 339-1947

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Olivia Onyechi, LPN

Title

Administrator

Phone

(240) 299-3987

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Jubilee Health Ventures LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jubilee Health Ventures, LLC

  • Home Health Agency
  • Largo, MD
  • NPI 1275322612
  NPD tax ID
• Jubilee Health Ventures, LLC

  • Attendant Care Provider
  • Upper Marlboro, MD
  • NPI 1285215764
  NPD tax ID

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1053997205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 COLONEL FENWICK PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725924",
            "telephone_number": "240-299-3987",
            "fax_number": "240-339-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 COLONEL FENWICK PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725924",
            "telephone_number": "240-510-3331",
            "fax_number": "240-339-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "ONYECHI",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-299-3987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899033600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jones, MSW
• Traci C Jordan, LCPC
• Chukwuka Joseph, CRNP-PMH
• Dania Joseph, M.D.
• Nkeng Teba Josephine
• Jubilee Health Ventures, LLC
• Judicious Healthcare
• Terrill Philippe Julien, M.D.
• Sung Hoon Jun, DDS
• K&P Healthcare Services

• Home Health Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.