Organization Active NPI

JJL Healthcare Services

Doing business as Champion Home Health Care

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1831433564
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008515200MedicaidFL

Other names 1

  • Champion Home Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amyluhn@championbrevard.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.