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Organization
JGSJ LLC
Active
Organization
JGSJ LLC
Active
Other names
Optimum Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOSEPH (ADMINISTRATOR)
(704) 975-2484
Entity
Organization
Contact information
Practice address
2772 N DR. MARTIN LUTHER KING JR DRIVE, SUITE 105, MILWAUKEE, WI 53212-2312
(414) 399-3850
(414) 755-0725
Mailing address
PO BOX 480036, CHARLOTTE, NC 28269-5300
(414) 704-9031
(414) 775-0725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029641
—
WI
Enumeration date
05/06/2013
Last updated
04/02/2026
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