Jameco Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

240000830 Issued in CA

Legal business name

JAMECO HOME HEALTH AGENCY, INC.

Practice address

2377 W Foothill Blvd Ste 16
Upland, CA 91786-3584

Phone

(909) 447-4705

Fax

(909) 621-6667

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Ambreen Khalid

Title

Administrator

Phone

(909) 447-4705

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Listed as

Jameco Home Health Agency IncCCN 058081

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Oct 22, 2001

Medicare certification status

Terminated Voluntary: merger or closure, May 31, 2026From the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 3

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

• Ayman Mounir Fakeh, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1245469345

  Home health agency

  Care Compare affiliation Name & address match
• Gimha Sudhani Gunawardana, M.D

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1720274921

  Home health agency

  Care Compare affiliation Name & address match
• Rizwana Begum Hussain, M.D.

  • General Practice Physician
  • Rowland Heights, CA
  • NPI 1548472574

  Home health agency

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1477558633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 W FOOTHILL BLVD STE 16",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863584",
            "telephone_number": "909-447-4705",
            "fax_number": "909-621-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 W FOOTHILL BLVD STE 16",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863584",
            "telephone_number": "909-447-4705",
            "fax_number": "909-621-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMECO HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-447-4705"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08081F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Upland",
            "affiliation": "N",
            "address_1": "2377 W Foothill Blvd Ste 16",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@jamecohha.com",
            "affiliation": "N",
            "address_1": "2377 W Foothill Blvd Ste 16",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Jacobs
• Tami Janine Jacobson, NP
• Katie Ellen Jacquez
• Catherine Dinglasan Jaeger, LMFT (LICENSED MARRI
• Daksha Ashok Jain, MD
• James C Ho M.D. Medical Corporation
• James R Larose DPM a Professional Corp
• James R. Larose, DPM, a Professional Corp
• Jason Daniel James Scribner, LCSW
• Miaisha Illeene James, LMFT

• All providers in Upland, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.