MEDICARE: JG HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251F00000X	Home Infusion Agency
3	251J00000X	Nursing Care Agency
4	251V00000X	Voluntary or Charitable Agency
5	253Z00000X	In Home Supportive Care Agency
6	332U00000X	Home Delivered Meals
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194492793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JG HOME CARE, INC.

Provider Business Mailing Address
First Line	:	2414 65TH ST STE 964
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-4136
Country	:	US
Telephone Number	:	917-804-3705
Fax Number	:

Provider Business Practice Location Address
First Line	:	629 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-1101
Country	:	US
Telephone Number	:	917-804-3705
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JENNIFER GARIB
Credential	:	FNP
Telephone Number	:	917-804-3705

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	02/29/2024

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