Jri Solutions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JRI SOLUTIONS LLC

Doing business as

Golden Supportive Care Home Health

Practice address

330 E Roosevelt Rd Ste 2H
Lombard, IL 60148-4644

Phone

(331) 286-6417

Fax

(331) 307-7112

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Renato Gonzaga, RN

Title

Admin

Phone

(630) 401-9224

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN SUPPORTIVE CARE HOME HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148420

Legal name

JRI SOLUTIONS LLC

Doing business as

GOLDEN SUPPORTIVE CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 19, 2024

Last certification

Nov 20, 2024

Organization structure

LLCProprietary

Enrollment address

330 E Roosevelt Rd
Ste 2H
Lombard, IL 60148-4644

Listed as

Golden Supportive CareCCN 148420 · All quality measures

Ownership

-

Certified

Dec 19, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1437922507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E ROOSEVELT RD STE 2H",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484644",
            "telephone_number": "331-286-6417",
            "fax_number": "331-307-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E ROOSEVELT RD STE 2H",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484644",
            "telephone_number": "331-286-6417",
            "fax_number": "331-307-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRI SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "GONZAGA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "630-401-9224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN SUPPORTIVE CARE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph a. Wanders DDS LTD.
• Teena Aikara Joseph, MSN, APN, FNP-C
• Jovive Health - Illinois PC (Jovive Health)
• Jovive Health - Illinois PC
• Coleen Joy, PHARMD
• Haneen I Jubran
• Mary Juda, MS, OTR/L
• Areli Julian, LSW
• Naresh Julka, MD
• Teigan O Jung, DPT

• Home Health Agency in Lombard, IL
• Providers in Lombard, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.