Healthcare Provider Details

I. General information

NPI: 1891617288
Provider Name (Legal Business Name): JGSBHOMECAREPA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 VALLEY STREAM PKWY STE 201, OFFICE 101
MALVERN PA
19355-1459
US

IV. Provider business mailing address

75 VALLEY STREAM PKWY STE 201
MALVERN PA
19355-1459
US

V. Phone/Fax

Practice location:
  • Phone: 610-281-3500
  • Fax: 610-518-8330
Mailing address:
  • Phone: 610-281-3500
  • Fax: 610-518-8330

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: JAMES BRADY
Title or Position: PRESIDENT
Credential:
Phone: 610-310-4339