Organization Active NPI

Jaj Health Care Services, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1508065525
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
412445600 Issued in MD
Legal business name
JAJ HEALTH CARE SERVICES, INC
Practice address
5919A York Rd
Baltimore, MD 21212-2335
Phone
(410) 900-6655
Fax
(410) 435-0299
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Mr. John Nwokoroku, MBA
Title
Director
Phone
(410) 233-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 412445600 MD Primary

Addresses

Primary practice location

5919A York Rd
Baltimore, MD 21212-2335

Mailing address

5919A York Rd
Baltimore, MD 21212-2335
Phone (410) 900-6655

Other identifiers 1

IdentifierTypeStateIssuer
412445600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jajhs1@verizon.net

National Provider Directory

National Provider Directory
Tax ID family
Jaj Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 Garrison Blvd
Ste G10
Baltimore, MD 21216

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1508065525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919A YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122335",
            "telephone_number": "410-900-6655",
            "fax_number": "410-435-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919A YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122335",
            "telephone_number": "410-900-6655",
            "fax_number": "410-435-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAJ HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "NWOKOROKU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-233-6067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "412445600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412445600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jajhs1@verizon.net",
            "affiliation": "N",
            "endpointDescription": "official email address of JAJ Home Healthcare Services, Inc",
            "address_1": "5919A YORK RD",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212122335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.