Active NPI
Jobeka Health Care Services LLC
- Home Health Agency
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JOBEKA HEALTH CARE SERVICES LLC
- Practice address
- 1108 E Main St Ste 1000
Richmond, VA 23219-3535 - Phone
- (301) 454-9603
- NPI assigned
- Oct 20, 2021
- 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
- Joseph Yufenyuy Jr.
- Title
- Owner/President
- Phone
- (301) 454-9603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1108 E Main St Ste 1000
Richmond, VA 23219-3535
Mailing address
5002 Ashford Dr
Upper Marlboro, MD 20772-2794
Phone (301) 454-9603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221022000112 | VA | Part A Provider - Home Health Agency | 9234505892 | Practice locations: Richmond, VA |
Home health agency certification: CCN 497804
- Legal name
- JOBEKA HEALTH CARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 8, 2023
- Last certification
- Oct 5, 2023
- Organization structure
- LLC
- Incorporated
- Oct 7, 2021 in VA
- Enrollment address
- 1108 E Main St
Ste 1000
Richmond, VA 23219-3535
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Jobeka Health Care Services LLC
- Ownership
- -
- Certified
- Nov 8, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1108 E Main St
Ste 1000
Richmond, VA 23219
Phone (301) 454-9603
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph Yufenyuy | 5% Or Greater Direct Ownership Interest | Oct 7, 2021 | 35% |
| Corporate Officer | Oct 7, 2021 | ||
| Corporate Director | Oct 7, 2021 | ||
| W-2 Managing Employee | Oct 7, 2021 | ||
| Beatrice S Yufenyuy | 5% Or Greater Direct Ownership Interest | Oct 7, 2021 | 35% |
| Corporate Officer | Oct 7, 2021 | ||
| Corporate Director | Oct 7, 2021 | ||
| W-2 Managing Employee | Oct 7, 2021 | ||
| Flora K Yufenyuy | 5% Or Greater Direct Ownership Interest | Oct 7, 2021 | 30% |
| Corporate Officer | Oct 7, 2021 | ||
| Corporate Director | Oct 7, 2021 | ||
| W-2 Managing Employee | Oct 7, 2021 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Washington, DC
- NPI 1730562992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1861155467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 ASHFORD DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207722794",
"telephone_number": "301-454-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 E MAIN ST STE 1000",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193535",
"telephone_number": "301-454-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOBEKA HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "YUFENYUY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "301-454-9603",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.