Provider Demographics
NPI:1295409704
Name:JAH HOMECARE LLC
Entity Type:Organization
Organization Name:JAH HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:WEYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-736-6754
Mailing Address - Street 1:5007 BRICE MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8573
Mailing Address - Country:US
Mailing Address - Phone:614-599-2698
Mailing Address - Fax:
Practice Address - Street 1:5007 BRICE MEADOW DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8573
Practice Address - Country:US
Practice Address - Phone:614-599-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty