Organization Active NPI

Jobeka Health Care Services LLC

  • Home Health Agency
  • Richmond, VA
National Provider Identifier
1861155467
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Joseph Yufenyuy Jr.NPI 1730562992
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 497804 · All quality measures
Ownership
-
Certified
Nov 8, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Joseph Yufenyuy Individual 5% Or Greater Direct Ownership Interest Oct 7, 2021 35%
Corporate OfficerOwner/President Oct 7, 2021
Corporate DirectorOwner/President Oct 7, 2021
W-2 Managing EmployeeOwner/President Oct 7, 2021
Beatrice S Yufenyuy Individual 5% Or Greater Direct Ownership Interest Oct 7, 2021 35%
Corporate OfficerOwner/VP Oct 7, 2021
Corporate DirectorOwner/VP Oct 7, 2021
W-2 Managing EmployeeOwner/VP Oct 7, 2021
Flora K Yufenyuy Individual 5% Or Greater Direct Ownership Interest Oct 7, 2021 30%
Corporate OfficerOwner/Treasurer Oct 7, 2021
Corporate DirectorOwner/Treasurer Oct 7, 2021
W-2 Managing EmployeeOwner/Treasurer 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.

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

Verify at the official NPI Registry.