Provider Demographics
NPI:1649152323
Name:JGJA HOME HEALTH CARE SERVICES
Entity type:Organization
Organization Name:JGJA HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:SELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-990-7983
Mailing Address - Street 1:3757 CLEVELAND AVE NW STE 204
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2375
Mailing Address - Country:US
Mailing Address - Phone:336-587-9076
Mailing Address - Fax:
Practice Address - Street 1:3757 CLEVELAND AVE NW STE 204
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2375
Practice Address - Country:US
Practice Address - Phone:330-327-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health