Provider Demographics
NPI:1346576022
Name:JNA HOME HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:JNA HOME HEALTH SOLUTIONS LLC
Other - Org Name:JNA HOME HEALTH SOLUTIONS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GENUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-591-3930
Mailing Address - Street 1:4041 UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 450
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3414
Mailing Address - Country:US
Mailing Address - Phone:703-591-3930
Mailing Address - Fax:702-652-4215
Practice Address - Street 1:4041 UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 450
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3414
Practice Address - Country:US
Practice Address - Phone:703-591-3930
Practice Address - Fax:703-652-4215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1346576022Medicaid
VA497657Medicare Oscar/Certification