J. C. Home Care Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2275 Issued in FL

Legal business name

J. C. HOME CARE INC

Doing business as

JC HOME MEDICAL

Practice address

9309 Old Kings Rd S Ste 4
Jacksonville, FL 32257-6180

Phone

(904) 448-9827

Fax

(904) 425-4948

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jae Hoon Chung

Title

Owner/President

Phone

(904) 448-9827

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• JC HOME MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• J.C. Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Ormond Beach, FL
  • NPI 1558908020

  8224245030

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

JC Home Care 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.

• J.C. Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Ormond Beach, FL
  • NPI 1558908020
  NPD tax ID

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1528126141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 OLD KINGS RD S STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576180",
            "telephone_number": "904-448-9827",
            "fax_number": "904-425-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9309 OLD KINGS RD S STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576180",
            "telephone_number": "904-448-9827",
            "fax_number": "904-425-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. C. HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-448-9827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001341300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R9604",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1025438",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JC HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.