MEDICARE: A & J HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1972323129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & J HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	798 SOUTHPARK BLVD STE 8B
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3600
Country	:	US
Telephone Number	:	804-721-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	798 SOUTHPARK BLVD STE 8B
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3600
Country	:	US
Telephone Number	:	804-721-0707
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. JENNIFER K PEREZ
Credential	:
Telephone Number	:	804-721-0707

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	10/14/2024

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Directions to “A & J HOME HEALTH LLC ” Practice Location

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