MEDICARE: JEWELS HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1417893918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEWELS HOME CARE LLC

Provider Business Mailing Address
First Line	:	1615 E WALLACE ST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46803-2564
Country	:	US
Telephone Number	:	260-615-5215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 E WALLACE ST
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46803-2564
Country	:	US
Telephone Number	:	260-615-5215
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	YOLANDA L GRIGSBY
Credential	:
Telephone Number	:	260-579-0394

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “JEWELS HOME CARE LLC ” Practice Location

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