MEDICARE: JAHONE HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1295694388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAHONE HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1114 BROOKVIEW DR APT 24
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7270
Country	:	US
Telephone Number	:	945-267-0835
Fax Number	:	945-267-0835

Provider Business Practice Location Address
First Line	:	1114 BROOKVIEW DR APT 24
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7270
Country	:	US
Telephone Number	:	945-267-0835
Fax Number	:	945-267-0835

Authorized Official
Title or Position	:	DOO
Name	:	GIBBONS AKENJI
Credential	:
Telephone Number	:	945-267-0835

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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