Jethro Health System, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JETHRO HEALTH SYSTEM, LLC

Practice address

330 Lynnway Ste 346
Lynn, MA 01901-1713

Phone

(781) 215-6125

Fax

(781) 215-6197

NPI assigned

Jul 15, 2017

Organization subpart

No

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

Authorized official

Name

Ogechukwu Philomena Anuta

Title

Administrator

Phone

(781) 215-6125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227731

Legal name

JETHRO HEALTH SYSTEM, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2019

Last certification

Feb 28, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 14, 2017 in MA

Enrollment address

330 Lynnway
Ste 346
Lynn, MA 01901-1713
HHA Branch

Listed as

Jethro Health System, LLCCCN 227731

Ownership

Proprietary

Certified

Feb 28, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1700308244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 346",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011713",
            "telephone_number": "781-215-6125",
            "fax_number": "781-215-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LYNNWAY STE 346",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011713",
            "telephone_number": "781-215-6125",
            "fax_number": "781-215-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETHRO HEALTH SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ANUTA",
        "authorized_official_first_name": "OGECHUKWU",
        "authorized_official_middle_name": "PHILOMENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "781-215-6125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Jean
• Venette Jean Jr.
• Meesha Frances Jeanlouis
• Amanda Hazel Jenkins, LICSW
• Frederick R Jenkins
• Yunlong Jia
• Jillian C, DPT
• Janirca Jimenez
• Jason J Jimenez
• Maria Yudoris Jimenez

• Home Health Agency in Lynn, MA
• Providers in Lynn, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.

Verify at the official NPI Registry.