Organization Active NPI

MJL Companies

  • Assisted Living Facility
  • Laveen, AZ
National Provider Identifier
1083885586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MJL COMPANIES
Practice address
11629 S 43Rd Ave
Laveen, AZ 85339-3245
Phone
(602) 237-7242
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marcus Lewis
Title
President
Phone
(602) 237-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AZ Primary

Addresses

Primary practice location

11629 S 43Rd Ave
Laveen, AZ 85339-3245

Mailing address

11629 S 43Rd Ave
Laveen, AZ 85339-3245
Phone (602) 237-7242

Other identifiers 1

IdentifierTypeStateIssuer
238800MedicaidAZ

Other names 1

  • Carver Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carver Ranch2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083885586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 S 43RD AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393245",
            "telephone_number": "602-237-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 S 43RD AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393245",
            "telephone_number": "602-237-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJL COMPANIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-237-7242"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carver Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.