JDH Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JDH HOME CARE

Practice address

407 N Waco St
Wichita, KS 67202-1160

Phone

(316) 425-7717

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Justin HagedornNPI 1225676679

Title

President and Ceo

Phone

(316) 425-7717

Specialties & licenses 1

Addresses

Other names 1

• BrightStar East Wichita Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin D Hagedorn

  • Home Health Agency
  • Wichita, KS
  • NPI 1225676679
  NPD Authorized official

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1366077943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 W. 21ST ST. N., SUITE 200#198",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-425-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N WACO ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672021160",
            "telephone_number": "316-425-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "HAGEDORN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "316-425-7717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar East Wichita",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrightStar East Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Stanley Jones, M.D., P.a.
• Jennifer Lynn Jay, LCMFT
• Sumal Buddhika Jayawarna
• Lisa Jayne, RN
• JCB Laboratory LLC
• Jean Anderson, LLC
• Jeanette Diederich
• Jeanne Erikson Counseling and Coaching LLC
• Angela Jefferies, LPN
• Penny E. Jeffery, M.D.

• Home Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.