Provider Demographics
NPI:1275322612
Name:JUBILEE HEALTH VENTURES, LLC
Entity type:Organization
Organization Name:JUBILEE HEALTH VENTURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONYECHI
Authorized Official - Suffix:
Authorized Official - Credentials:AAS, BSHSM
Authorized Official - Phone:240-510-3331
Mailing Address - Street 1:1300 MERCANTILE LN # 129-5
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5327
Mailing Address - Country:US
Mailing Address - Phone:240-510-3331
Mailing Address - Fax:240-764-6789
Practice Address - Street 1:1300 MERCANTILE LN # 129-5
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5327
Practice Address - Country:US
Practice Address - Phone:240-510-3331
Practice Address - Fax:240-764-6789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health