Active NPI
J & J Home Health Care LLC
- Home Health Agency
- Leesburg, FL
National Provider Identifier
1093138273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- J & J HOME HEALTH CARE LLC
- Practice address
- 1330 Citizens Blvd
Suite 403
Leesburg, FL 34748-3942 - Phone
- (352) 399-6886
- NPI assigned
- Jan 24, 2014
- Last updated
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jijimol Joseph
- Title
- Administrator
- Phone
- (352) 409-8943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1330 Citizens Blvd
Suite 403
Leesburg, FL 34748-3942
Mailing address
1330 Citizens Blvd
Suite 403
Leesburg, FL 34748-3942
Phone (352) 399-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141024000499 | FL | Part A Provider - Home Health Agency | 5890916407 | Practice locations: Leesburg, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1093138273. Details of each certification follow.
Home health agency certification: CCN 683177
- Legal name
- J & J HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 17, 2015
- Last certification
- Mar 7, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jul 30, 2012 in FL
- Enrollment address
- 709 W North Blvd
Leesburg, FL 34748-5050
Care Compare: Home health agency
Medicare Care Compare- Listed as
- J & J Home Health Care LLC
- Ownership
- Proprietary
- Certified
- Mar 17, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1330 Citizens Blvd
Ste 403
Leesburg, FL 34748
Phone (352) 399-6886
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joyce Berry | Corporate Officer | Aug 31, 2021 | |
| Jiby Joseph | 5% Or Greater Direct Ownership Interest | Jul 30, 2012 | 50% |
| Corporate Director | Jul 30, 2012 | 50% | |
| W-2 Managing Employee | Jul 30, 2012 | 50% | |
| Jijimol Joseph | 5% Or Greater Direct Ownership Interest | Aug 30, 2012 | 50% |
| Corporate Director | Aug 30, 2012 | 50% | |
| W-2 Managing Employee | Aug 30, 2012 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lady Lake, FL
- NPI 1669741831
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Lady Lake, FL
- NPI 1790745164
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1093138273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 CITIZENS BLVD",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347483942",
"telephone_number": "352-399-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 CITIZENS BLVD",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347483942",
"telephone_number": "352-399-6886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & J HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-24",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "JIJIMOL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "352-409-8943",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.