NPIMap

Organization Active NPI

JMJ Healthcare, Inc

Doing business as JMJ Home Health Services

  • Home Health Agency
  • Brentwood, CA
National Provider Identifier
1184777344
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JMJ HEALTHCARE, INC
Doing business as
JMJ Home Health Services
Practice address
8640 Brentwood Blvd Ste D
Brentwood, CA 94513-5659
Phone
(925) 634-1100
Fax
(925) 634-1232
NPI assigned
Jan 19, 2007
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Mrs. Sheilah Leal, RN
Title
Administrator
Phone
(925) 634-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8640 Brentwood Blvd Ste D
Brentwood, CA 94513-5659

Mailing address

8640 Brentwood Blvd Ste D
Brentwood, CA 94513-5659
Phone (925) 634-1100

Other names 1

  • JMJ Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000077 CA Part A Provider - Home Health Agency 7618979550 Practice locations: Brentwood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184777344. Details of each certification follow.

Home health agency certification: CCN 059309

Legal name
JMJ HEALTHCARE, INC
Doing business as
JMJ HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 3, 2011
Last certification
Jan 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 15, 2006 in CA
Enrollment address
8640 Brentwood Blvd
Ste D
Brentwood, CA 94513-5659

Care Compare: Home health agency

Medicare Care Compare
Listed as
JMJ Home Health ServicesCCN 059309 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 3, 2011
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
05D1096999JMJ Home Health Services8640 Brentwood Blvd Ste D, Brentwood, CA 94513Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

1181 Central Blvd
Ste A
Brentwood, CA 94513
Phone (925) 634-1100

1210 Central Blvd
Ste 121
Brentwood, CA 94513
Phone (925) 634-1100

8640 Brentwood Blvd
Ste D
Brentwood, CA 94513
Phone (925) 634-1100

9300 W Stockton Blvd
Ste 208
Elk Grove, CA 95758
Phone (916) 667-3649

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.

NameRoleSinceShare
Maricon C Aguirre Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2017 33.33%
Corporate OfficerTreasurer Sep 8, 2006 33.33%
Sheilah J Leal Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2017 33.34%
Corporate OfficerPresident Sep 8, 2006 33.34%
W-2 Managing EmployeeAdministrator Sep 8, 2006 33.34%
Shugen C Tio Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2017 33.33%
Corporate OfficerSecretary Sep 8, 2006 33.33%

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1184777344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 BRENTWOOD BLVD STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135659",
            "telephone_number": "925-634-1100",
            "fax_number": "925-634-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 BRENTWOOD BLVD STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135659",
            "telephone_number": "925-634-1100",
            "fax_number": "925-634-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-634-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMJ Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JMJ Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.