Jola Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001135 Issued in CA

Legal business name

JOLA HEALTH SERVICES, INC.

Doing business as

Jola Home Health Services Inc.

Practice address

125 N Prairie Ave
Inglewood, CA 90301-1904

Phone

(310) 412-0011

Fax

(310) 412-0051

NPI assigned

Jun 2, 2006

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charmayne Yvonne Cahn, P.T.NPI 1700336948

Title

Administrator

Phone

(310) 412-0011

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jola Home Health Services Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720026958. Details of each certification follow.

• CCN 058004 Home health agency · Active · Details

Home health agency certification: CCN 058004

Legal name

JOLA HEALTH SERVICES INC

Doing business as

JOLA HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 5, 1997

Last certification

May 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 12, 1996 in CA

Enrollment address

323 N Prairie Ave
Ste 425
Inglewood, CA 90301-4506

Listed as

Jola Home Health AgencyCCN 058004 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

May 5, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Charmayne Yvonne Cahn, PHYSICAL THERAPIST

  • Specialist
  • Inglewood, CA
  • NPI 1700336948

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Arnold Ray Savage, M.D

  • Specialist
  • Los Angeles, CA
  • NPI 1407924046

  Corporate Director

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmayne Yvonne Cahn, PHYSICAL THERAPIST

  • Specialist
  • Inglewood, CA
  • NPI 1700336948
  Medicare reassignment Authorized official
• Yulionas Gayauskas, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1487668836
  NPD (past)
• Walter Preston Maynard, M.D.

  • Diagnostic Radiology Physician
  • Inglewood, CA
  • NPI 1003838301
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amanuel Sima, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1366493744

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1720026958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011904",
            "telephone_number": "310-412-0011",
            "fax_number": "310-412-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011904",
            "telephone_number": "310-412-0011",
            "fax_number": "310-412-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CAHN",
        "authorized_official_first_name": "CHARMAYNE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-412-0011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08004F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jola Home Health Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jola Home Health Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsha Johnson
• Raymont Herbert Johnson Jr., DDS
• Ronnie D Johnson Jr.
• Taunya Johnson, RN
• Vanessa Lorena Johnson
• Vikky Joma
• Terilyn I. Jones Henderson, PH.D.
• Anna-Jean Corinth Jones, LVN
• Creola Nickolette Jones, MFC46675
• James C Jones II, CMA, XT

• Home Health Agency in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.