JG Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JG HOME HEALTH CARE SERVICES LLC

Practice address

394 Lowell St Ste 11
Lexington, MA 02420-2550

Phone

(781) 667-3220

Fax

(781) 667-3221

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jyotsna Kakullavarapu, MD, MPH, CDP

Title

Owner/ Ceo/ Administrator

Phone

(781) 667-3220

Specialties & licenses 1

Addresses

Other names 2

• Interim HealthCare Inc Doing business as
• Interim HealthCare of Lexington MA Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Home health agency certification: CCN 227714

Legal name

JG HOME HEALTH CARE SERVICES LLC

Doing business as

INTERIM HEALTH CARE OF LEXINGTON MA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 5, 2017

Last certification

Dec 5, 2017

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Nov 11, 2014 in MA

Enrollment address

394 Lowell St
Ste 11
Lexington, MA 02420-2550

Listed as

Interim Healthcare of Lexington MaCCN 227714

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Dec 5, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Stephen Paul Murphy, MD

  • Internal Medicine Physician
  • North Reading, MA
  • NPI 1003845611

  Home health agency

  Care Compare affiliation
• Rebecca Wallach, DO

  • Family Medicine Physician
  • Tewksbury, MA
  • NPI 1578026316

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1770975500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 LOWELL ST STE 11",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202550",
            "telephone_number": "781-667-3220",
            "fax_number": "781-667-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 LOWELL ST STE 11",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202550",
            "telephone_number": "781-667-3220",
            "fax_number": "781-667-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "KAKULLAVARAPU",
        "authorized_official_first_name": "JYOTSNA",
        "authorized_official_title_or_position": "OWNER/ CEO/ ADMINISTRATOR",
        "authorized_official_telephone_number": "781-667-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, CDP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare of Lexington MA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Marie Jemas, PT, DPT
• Patricia Jenkins, OTR/L
• Haley Jenkinson, RN
• Jennie Steinberg LMHC LLC
• Jerry Wacks, MD
• JG Therapy LLC
• Jgtherapy
• Shivkumar H Jha, MD
• Ke Jiang
• Jill Furumoto

• Home Health Agency in Lexington, MA
• Providers in Lexington, 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 Feb 18, 2022; 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.