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JAX HOME HEALTH, INC
NPI 1972170082
Home Health in Glendale, CA

Active since June 08, 2021CLIA 05D2303463 · Waiver
230 N MARYLAND AVE STE 301, GLENDALE, CA 91206(747) 877-9240 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jax Home Health, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAX HOME HEALTH, INC (NPI 1972170082) is a healthcare organization registered as a home health in Glendale, California and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Jacqueline Panossian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972170082
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameJAX HOME HEALTH, INC
Location Address230 N MARYLAND AVE STE 301Glendale, CA 91206-4281
Mailing Address230 N Maryland Ave Ste 301Glendale, CA 91206-4281
Phone(747) 877-9240
Organization SubpartNo
Authorized OfficialJacqueline PanossianCeo · (747) 877-9240
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1972170082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
230 N MARYLAND AVE STE 301, Glendale, CA 91206
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2303463

Jax Home Health Inc · Glendale, CA
Active · expires Apr 24, 2028
CLIA Number05D2303463
Laboratory TypeHome Health Agency
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorStephen N. Pine
Laboratory Phone(747) 877-9240
Laboratory LocationJax Home Health Inc230 N Maryland Ave Ste 301, Glendale, CA 91206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Jax Home Health, Inc (CMS certification number 757189), from CMS Care Compare.

Jax Home Health, Inc

Home health agency · Glendale, CA
CMS Certification Number757189
Medicare-Certified SinceFebruary 22, 2023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jax Home Health, Inc's NPI number?

The NPI number for Jax Home Health, Inc is 1972170082. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is Jax Home Health, Inc located?

Jax Home Health, Inc is located at 230 N Maryland Ave Ste 301, Glendale, CA 91206. The listed phone number is (747) 877-9240.

What is Jax Home Health, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Jax Home Health, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303463) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jax Home Health, Inc a Medicare-certified home health agency?

Yes. Jax Home Health, Inc is a Medicare-certified home health agency, certified since February 22, 2023.

When was this NPI record last updated?

The NPPES record for Jax Home Health, Inc was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.