Organization Active NPI

Jerusalem Healthcare Services LLC

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1477208254
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JERUSALEM HEALTHCARE SERVICES LLC
Practice address
1930 Glen Arbor Dr
Toledo, OH 43614-3205
Phone
(419) 410-7544
NPI assigned
Feb 19, 2022
Last updated
Feb 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Authorized official

Name
Arrey Abunaw
Title
Ceo
Phone
(419) 410-7544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Nursing Care Agency 251J00000X NU

Addresses

Primary practice location

1930 Glen Arbor Dr
Toledo, OH 43614-3205

Mailing address

1930 Glen Arbor Dr
Toledo, OH 43614-3205
Phone (419) 410-7544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1477208254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 GLEN ARBOR DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143205",
            "telephone_number": "419-410-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 GLEN ARBOR DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143205",
            "telephone_number": "419-410-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERUSALEM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "ABUNAW",
        "authorized_official_first_name": "ARREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-410-7544"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.