Healthcare Provider Details

I. General information

NPI: 1306310024
Provider Name (Legal Business Name): J HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4209 MEADOWGATE CT
CHESAPEAKE VA
23321-4535
US

IV. Provider business mailing address

4209 MEADOWGATE CT
CHESAPEAKE VA
23321-4535
US

V. Phone/Fax

Practice location:
  • Phone: 757-319-6507
  • Fax: 757-483-1408
Mailing address:
  • Phone: 757-319-6507
  • Fax: 757-483-1408

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: YONGJIN AHN
Title or Position: PRESIDENT
Credential:
Phone: 757-357-9999