NPIMap

Organization Active NPI

JTC Home Health, Inc.

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1295306991
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JTC HOME HEALTH, INC.
Practice address
2801 Camino del Rio S Ste 318-1
San Diego, CA 92108-3800
Phone
(619) 230-5568
Fax
(619) 566-4166
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Jude Thaddeus Chua III
Title
Ceo
Phone
(619) 230-5568

Specialties & licenses 1

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

Addresses

Primary practice location

2801 Camino del Rio S Ste 318-1
San Diego, CA 92108-3800

Mailing address

2801 Camino del Rio S Ste 318-1
San Diego, CA 92108-3800
Phone (619) 230-5568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230126001882 CA Part A Provider - Home Health Agency 9335510536 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295306991. Details of each certification follow.

Home health agency certification: CCN 757351

Legal name
JTC HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 29, 2023
Last certification
Aug 17, 2023
Organization structure
CorporationProprietary
Incorporated
Jun 22, 2021 in CA
Enrollment address
2801 Camino del Rio S
Ste 318-1
San Diego, CA 92108-3800

Care Compare: Home health agency

Medicare Care Compare
Listed as
JTC Home Health IncCCN 757351 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Aug 29, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2801 Camino del Rio S
Ste 3181
San Diego, CA 92108
Phone (619) 230-5568

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Jude Chua III Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary/Board Member Jun 22, 2021 100%
Corporate OfficerCeo/Cfo/Secretary/Board Member Jun 22, 2021 100%
Corporate DirectorCeo/Cfo/Secretary/Board Member Jun 22, 2021 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Board Member Jun 22, 2021 100%

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.

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1295306991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S STE 318-1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "619-230-5568",
            "fax_number": "619-566-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S STE 318-1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "619-230-5568",
            "fax_number": "619-566-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTC HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-230-5568",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.