Organization Active NPI

Mjo Enterprises, LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1053047266
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MJO ENTERPRISES, LLC
Practice address
175 Langley Dr Ste D3
Lawrenceville, GA 30046-6952
Phone
(770) 712-0841
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J O'Connor
Title
Owner - Ceo
Phone
(770) 712-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

175 Langley Dr Ste D3
Lawrenceville, GA 30046-6952

Mailing address

6175 Hickory Flat Hwy # 110377
Canton, GA 30115-7207
Phone (770) 712-0841

Other names 1

  • BrightStar Care - Lawrenceville GA Doing business as

National Provider Directory

National Provider Directory

Locations

6175 Hickory Flat Hwy
#110377
Canton, GA 30115

175 Langley Dr
Ste D3
Lawrenceville, GA 30046
Phone (770) 712-0841

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1053047266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 HICKORY FLAT HWY # 110377",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157207",
            "telephone_number": "770-712-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR STE D3",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466952",
            "telephone_number": "770-712-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJO ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "770-712-0841"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care - Lawrenceville GA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.