Jenforte Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JENFORTE HOME HEALTH CARE LLC

Practice address

13000 Habor Canter Dr
Suite 364
Woodbridge, VA 22192

Phone

(571) 263-5870

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Konneh

Title

Administrator

Phone

(571) 263-5870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861167629. Details of each certification follow.

• CCN 497799 Home health agency · Active · Details

Home health agency certification: CCN 497799

Legal name

JENFORTE HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 12, 2023

Last certification

Apr 28, 2023

Organization structure

LLCProprietary

Incorporated

May 27, 2021 in VA

Enrollment address

13000 Harbor Center Dr
Ste 364
Woodbridge, VA 22192-2846

Listed as

Jenforte Home Health Care LLCCCN 497799 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

May 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Nasiru Tejan

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1720625221

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1861167629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 HABOR CENTER DR",
            "address_2": "SUITE 364",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HABOR CANTER DR",
            "address_2": "SUITE 364",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "571-263-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENFORTE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "KONNEH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-263-5870"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Claire Jeffers, MA, RBT
• Jefferson Davis Chiropractic & PT
• Funmilayo Bethany Jeffery
• Jessica C Jemmott, MA, LPC
• Richard N Jenet, MD
• Kevin N. Jenkins, M. ED.
• Amy Lydia Jensen, LPC,CSAC,NCC
• Sofia Jeong
• Lauren Jerothe
• Jes'Tures of Hope LLC

• Home Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.