Organization Active NPI

Jupiter Home Health Agency, Inc.

Doing business as Action Home Care

  • Home Health Agency
  • Jupiter, FL
National Provider Identifier
1124322623
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JUPITER HOME HEALTH AGENCY, INC.
Doing business as
Action Home Care
Practice address
1005 W Indiantown Rd
Suite 102
Jupiter, FL 33458-6834
Phone
(561) 744-3365
Fax
(561) 935-9677
NPI assigned
Dec 27, 2010
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Julie Ann Cogle, M.S. CCC/SLP
Title
Administrator
Phone
(561) 744-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1005 W Indiantown Rd
Suite 102
Jupiter, FL 33458-6834

Mailing address

1005 W Indiantown Rd
Suite 102
Jupiter, FL 33458-6834
Phone (561) 744-3365

Other names 1

  • Action Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000713 FL Part A Provider - Home Health Agency 7618139536 Practice locations: Jupiter, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124322623. Details of each certification follow.

Home health agency certification: CCN 103139

Legal name
JUPITER HOME HEALTH AGENCY, INC.
Doing business as
ACTION HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 4, 2012
Last certification
Sep 9, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2010 in FL
Enrollment address
1005 W Indiantown Rd
Suite 102
Jupiter, FL 33458

Care Compare: Home health agency

Medicare Care Compare
Listed as
Action Home CareCCN 103139 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 4, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2026757Jupiter Home Health Agency Inc1005 W Indiantown Rd # 102, Jupiter, FL 33458Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Locations

1005 W Indiantown Rd
Ste 102
Jupiter, FL 33458
Phone (561) 744-3365

1928 Commerce Ln
Ste 3
Jupiter, FL 33458
Phone (561) 628-3154

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Maurice G Cogle Individual 5% Or Greater Direct Ownership Interest Jun 5, 2011
Corporate Officer Jun 5, 2011
Corporate Director Jun 5, 2011
Julia Cogle Individual 5% Or Greater Direct Ownership Interest Jun 5, 2011
Corporate Officer Jun 5, 2011
Corporate Director Jun 5, 2011
W-2 Managing Employee Jun 5, 2011

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1124322623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W INDIANTOWN RD",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586834",
            "telephone_number": "561-744-3365",
            "fax_number": "561-935-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W INDIANTOWN RD",
            "address_2": "SUITE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334586834",
            "telephone_number": "561-744-3365",
            "fax_number": "561-935-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "COGLE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-744-3365",
        "authorized_official_credential": "M.S. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Action Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.