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General NPI Number Information
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NPI Number | 1649152323
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Entity Type | Organization
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Legal Business Name | JGJA HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3757 CLEVELAND AVE NW STE 204
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City | CANTON
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State | OH
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Zip | 44709-2375
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Country | US
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Telephone | 330-327-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 3757 CLEVELAND AVE NW STE 204
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City | CANTON
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State | OH
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Zip | 44709-2375
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Country | US
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Telephone | 336-587-9076
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | SELENA GRAVES
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Credential |
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Telephone | 330-990-7983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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