MJL Companies LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ALH-6207 Issued in AZ

Legal business name

MJL COMPANIES LLC

Practice address

11629 S 43Rd Ave
Laveen, AZ 85339-3245

Phone

(602) 237-7242

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Marcus Lewis

Title

Ceo

Phone

(602) 237-7242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carver Ranch Assisted Living Doing business as

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.

• MJL Companies

  • Assisted Living Facility
  • Laveen, AZ
  • NPI 1083885586
  NPD tax ID

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1124259627",
    "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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-237-7242"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALH-6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238800",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carver Ranch Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Minjarez, BS
• Mission Health LLC
• Jacob Donovan Mitchell, PHARMD
• Phalina Mitchell, RN
• MJL Companies
• Sara Mohamed
• Anwar Mohamedali
• Salmah Monsour, PHARM D
• Daniel A Monte
• Moonstar Behavioral HME LLC

• Adult Care Home Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.