Active NPI
JM Homecare Solutions Inc
- Home Health Agency
- La Habra, CA
National Provider Identifier
1639305667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JM HOMECARE SOLUTIONS INC
- Practice address
- 625 S. Palm St Suite E
La Habra, CA 90631-5737 - Phone
- (562) 266-1299
- Fax
- (562) 266-1220
- NPI assigned
- Jun 4, 2009
- Last updated
- Jan 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Bradley Scott Witt
- Title
- President
- Phone
- (714) 856-4341
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
625 S. Palm St Suite E
La Habra, CA 90631-5737
Mailing address
625 S. Palm St Suite E
La Habra, CA 90631-5737
Phone (562) 266-1299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091006000180 | CA | Part A Provider - Home Health Agency | 2466598487 | Practice locations: La Habra, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639305667. Details of each certification follow.
Home health agency certification: CCN 059276
- Legal name
- JM HOMECARE SOLUTIONS, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 3, 2011
- Last certification
- Feb 20, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Aug 30, 2007 in CA
- Enrollment address
- 625 S Palm St
Ste E
La Habra, CA 90631-5765
Care Compare: Home health agency
Medicare Care Compare- Listed as
- JM Homecare Solutions, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 3, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
625 S Palm St
Ste E
La Habra, CA 90631
Phone (562) 266-1299
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Taylor Witt | 5% Or Greater Direct Ownership Interest | Oct 26, 2017 | 100% |
| Corporate Officer | Oct 26, 2017 | 100% | |
| W-2 Managing Employee | Oct 26, 2017 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515369600000",
"number": "1639305667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S. PALM ST SUITE E",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315737",
"telephone_number": "562-266-1299",
"fax_number": "562-266-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S. PALM ST SUITE E",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315737",
"telephone_number": "562-266-1299",
"fax_number": "562-266-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JM HOMECARE SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2018-01-08",
"status": "A",
"authorized_official_last_name": "WITT",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "BRADLEY SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-856-4341"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.