Organization Active NPI

JDH Home Healthcare

  • Home Health Agency
  • Tennille, GA
National Provider Identifier
1669272704
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JDH HOME HEALTHCARE
Practice address
434 Matthews Rd
Tennille, GA 31089-4120
Phone
(478) 232-0187
Fax
(478) 232-0187
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Ms. Ambrielle Rashonda Janique Hagans, PHARMACY TECHNICIAN
Title
Certified Pharmacy Technician
Phone
(478) 232-0187

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU
Private Vehicle 347C00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

434 Matthews Rd
Tennille, GA 31089-4120

Mailing address

434 Matthews Rd
Tennille, GA 31089-4120
Phone (478) 232-0187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1669272704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MATTHEWS RD",
            "city": "TENNILLE",
            "state": "GA",
            "postal_code": "310894120",
            "telephone_number": "478-232-0187",
            "fax_number": "478-232-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MATTHEWS RD",
            "city": "TENNILLE",
            "state": "GA",
            "postal_code": "310894120",
            "telephone_number": "478-232-0187",
            "fax_number": "478-232-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDH HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HAGANS",
        "authorized_official_first_name": "AMBRIELLE",
        "authorized_official_middle_name": "RASHONDA JANIQUE",
        "authorized_official_title_or_position": "CERTIFIED PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "478-232-0187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACY TECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tennille, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.