Organization Active NPI

JLL Healthcare LLC

  • Home Health Agency
  • Pickerington, OH
National Provider Identifier
1619634151
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JLL HEALTHCARE LLC
Practice address
11531 Daventry Dr NW
Pickerington, OH 43147-7525
Phone
(614) 459-6765
Fax
(614) 559-9927
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Kofi Adoma, BSN,RNNPI 1114684669
Title
Owner
Phone
(614) 596-7656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11531 Daventry Dr NW
Pickerington, OH 43147-7525

Mailing address

11531 Daventry Dr NW
Pickerington, OH 43147-7525
Phone (614) 459-6765

Other names 1

  • JLL HEALTHCARE SYSTEM, JLL HOME HEALTHCARE, JLL HOSPICE CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JLL Healthcare LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1619634151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11531 DAVENTRY DR NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477525",
            "telephone_number": "614-459-6765",
            "fax_number": "614-559-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 DAVENTRY DR NW",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477525",
            "telephone_number": "614-459-6765",
            "fax_number": "614-559-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "ADOMA",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-596-7656",
        "authorized_official_credential": "BSN,RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JLL HEALTHCARE SYSTEM, JLL HOME HEALTHCARE, JLL HOSPICE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.