Organization Active NPI

JM Homecare Solutions Inc

  • Home Health Agency
  • La Habra, CA
National Provider Identifier
1639305667
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059276 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 3, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Taylor Witt Individual 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

Verify at the official NPI Registry.