MEDICARE: JOY HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194453068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2400 BLAISDELL AVE STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3331
Country	:	US
Telephone Number	:	612-259-7531
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 BLAISDELL AVE STE 200
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3331
Country	:	US
Telephone Number	:	612-259-7531
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AISHA JELLE
Credential	:
Telephone Number	:	612-260-7901

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	08/09/2022

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