Jeffersons Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JEFFERSONS HEALTHCARE SERVICES LLC

Practice address

401 Victory Rd Apt 3N
Clarksville, TN 37042-2950

Phone

(213) 835-7522

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Morris Jeffer Kugonza

Title

Director/Owner

Phone

(213) 835-7522

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1306559455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 VICTORY RD APT 3N",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370422950",
            "telephone_number": "213-835-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VICTORY RD APT 3N",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370422950",
            "telephone_number": "213-835-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSONS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "KUGONZA",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "JEFFER",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "213-835-7522"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "Y9228168",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.jeffersonshealthcareservices.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Victory Rd Apt 3N",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370422950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Michelle Jarvis, PHARMD
• Daniel S Javier, M.D.
• Kimberly Jay
• Mason Jay
• Lashanda Ida Jefferson, APRN
• David Matthew Jeffries, PTA
• Bianca R Jenkins
• Kelsey Jenkins
• Kira Jenkins
• Macie Laine Jenkins

• Home Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.