Active NPI
JJL Healthcare Services
Doing business as Champion Home Health Care
- In Home Supportive Care Agency
- Melbourne, FL
National Provider Identifier
1831433564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JJL HEALTHCARE SERVICES
- Doing business as
- Champion Home Health Care
- Practice address
- 2010 W. Eau Gallie Blvd.
Suite 101
Melbourne, FL 32935-3114 - Phone
- (321) 608-3838
- Fax
- (321) 286-5808
- NPI assigned
- Nov 19, 2012
- Last updated
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jordan John Luhn
- Title
- President
- Phone
- (321) 608-3838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
2010 W. Eau Gallie Blvd.
Suite 101
Melbourne, FL 32935-3114
Mailing address
2010 W. Eau Gallie Blvd.
Suite 101
Melbourne, FL 32935-3114
Phone (321) 608-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008515200 | Medicaid | FL |
Other names 1
- Champion Home Health Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amyluhn@championbrevard.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2010 W Eau Gallie Blvd
Unit 101
Melbourne, FL 32935
Phone (321) 608-3838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1831433564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 W. EAU GALLIE BLVD.",
"address_2": "SUITE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353114",
"telephone_number": "321-608-3838",
"fax_number": "321-286-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 W. EAU GALLIE BLVD.",
"address_2": "SUITE 101",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353114",
"telephone_number": "321-608-3838",
"fax_number": "321-286-5808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJL HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-19",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "LUHN",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-608-3838",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008515200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amyluhn@championbrevard.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2010 W. Eau Gallie Blvd.",
"address_2": "Suite 101",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329353114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Champion Home Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Champion Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.