Healthcare Provider Details

I. General information

NPI: 1134085905
Provider Name (Legal Business Name): J & G HOME HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 BEVAN WAY
DELAWARE OH
43015-4134
US

IV. Provider business mailing address

208 BEVAN WAY
DELAWARE OH
43015-4134
US

V. Phone/Fax

Practice location:
  • Phone: 614-725-7811
  • Fax:
Mailing address:
  • Phone: 614-725-7811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH DONKOR
Title or Position: RN
Credential:
Phone: 614-725-7811