MEDICARE: JUBILANT HEARTS HEALTHCARE INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	343900000X	Non-emergency Medical Transport (VAN)
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1295551943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUBILANT HEARTS HEALTHCARE INCORPORATED

Provider Business Mailing Address
First Line	:	7348 S WOODLAWN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-2020
Country	:	US
Telephone Number	:	773-668-1686
Fax Number	:	773-409-8763

Provider Business Practice Location Address
First Line	:	3055 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-2251
Country	:	US
Telephone Number	:	312-843-0830
Fax Number	:	773-409-8763

Authorized Official
Title or Position	:	CEO
Name	:	KATINA EDWARDS
Credential	:
Telephone Number	:	312-843-0830

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	01/08/2026

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Directions to “JUBILANT HEARTS HEALTHCARE INCORPORATED ” Practice Location

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