Organization Active NPI

JWK International Home Healthcare Inc

  • Home Health Agency
  • Fredericksburg, VA
National Provider Identifier
1760193403
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JWK INTERNATIONAL HOME HEALTHCARE INC
Practice address
112 Hamlin Dr
Fredericksburg, VA 22405-3371
Phone
(571) 552-1899
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mr. Henry K Lukwago
Title
Admin
Phone
(240) 547-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

112 Hamlin Dr
Fredericksburg, VA 22405-3371

Mailing address

112 Hamlin Dr
Fredericksburg, VA 22405-3371
Phone (571) 552-1899

Other identifiers 1

IdentifierTypeStateIssuer
1760193403MedicaidVA

Other names 1

  • JWK International Home Healthcare Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2289373JWK International Home112 Hamlin Dr, Falmouth, VA 22405Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1760193403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HAMLIN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224053371",
            "telephone_number": "571-552-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HAMLIN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224053371",
            "telephone_number": "571-552-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWK INTERNATIONAL HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LUKWAGO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "240-547-7651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760193403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JWK International Home Healthcare Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.