MEDICARE: JAR, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1679515902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAR, INC.

Provider Business Mailing Address
First Line	:	6100 DUTCHMANS LN STE 10
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40205-3284
Country	:	US
Telephone Number	:	434-392-7336
Fax Number	:	434-392-9609

Provider Business Practice Location Address
First Line	:	8181 PROFESSIONAL PL STE 105
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-2264
Country	:	US
Telephone Number	:	703-912-2080
Fax Number	:	703-912-2090

Authorized Official
Title or Position	:	VP RCM
Name	:	EDWIN VETTER
Credential	:
Telephone Number	:	502-432-9202

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/29/2026

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