JLC Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JLC HOMECARE LLC

Practice address

1611 County Road B W Ste 303
Roseville, MN 55113-4104

Phone

(651) 237-7727

Fax

(651) 383-4145

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Bryan Cremeen

Title

President/Ceo

Phone

(651) 983-2590

Specialties & licenses 2

Addresses

Other names 2

• COMFORCARE ST PAUL Doing business as
• COMFORCARE TWIN CITIES NORTH Doing business as

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1124771787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 303",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134104",
            "telephone_number": "651-237-7727",
            "fax_number": "651-383-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 COUNTY ROAD B W STE 303",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134104",
            "telephone_number": "651-237-7727",
            "fax_number": "651-383-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLC HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CREMEEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "651-983-2590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORCARE ST PAUL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMFORCARE TWIN CITIES NORTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Jenson
• Catherine M Jents, RN
• Christine Phan Jerabek, PA
• Ahmed Sheikh Jeylani
• JJS Optical LLC
• JN Optics, LLC
• John Honebrink
• Anne Johnson
• Breona Johnson
• Byron Johnson, MD

• Home Health Agency in Roseville, MN
• Providers in Roseville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.