Jaisohn Home Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JAISOHN HOME HEALTH CARE, INC

Practice address

6705 Old York Rd
Philadelphia, PA 19126-2841

Phone

(215) 224-2040

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By 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

Mr. Peter Hyunteh Choi

Title

President/Ceo

Phone

(215) 224-2040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730582875. Details of each certification follow.

• CCN 398310 Home health agency · Active · Details

Home health agency certification: CCN 398310

Legal name

JAISOHN HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 5, 2019

Last certification

Jun 5, 2019

Ownership / control type

Non-Profit

Organization structure

CorporationNon-profit

Incorporated

Mar 28, 2011 in PA

Enrollment address

51 Medical Campus Dr
Lansdale, PA 19446-1254

Listed as

Jaisohn Home Health Care, Inc.CCN 398310 · All quality measures

Overall star rating

2 of 5

Ownership

Non-Profit

Certified

Jun 5, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

All disclosed owners & managing parties 6

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 1

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

• Jisun Kim Choe, M.D.

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1649434366

  Corporate Director

  CMS ownership

Practitioners 1

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.

• Yisun Cho, OTR

  • Occupational Therapist
  • Lansdale, PA
  • NPI 1801917091
  NPD

Affiliated clinicians 2

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

• Won Myung Kim, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1437199502

  Home health agency

  Care Compare affiliation
• Young Nam Kim, MD

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1902866510

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1730582875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19126",
            "telephone_number": "215-224-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262841",
            "telephone_number": "215-224-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAISOHN HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HYUNTEH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-224-2040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchi Singh Jain, MD
• Varsha Jain, M.D.
• Devika Jaishankar
• Shaheen Jagdish Jaisingh, DMD
• Jaisohn Home Care, Inc.
• Raji Susan Jaison
• Jay Jaiswal, MD
• Priya Jaiswal
• Patrick Jajua
• Nicole Lynn Jakobowski, AGNP-C

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.