Cja Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2948 Issued in MD

Legal business name

CJA SERVICES LLC

Doing business as

cja health services

Practice address

5209 York Rd
Suite M34 Box14
Baltimore, MD 21212-4225

Phone

(443) 708-7046

Fax

(443) 708-7046

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Tymina-Odion

Title

Administrator

Phone

(410) 869-2082

Specialties & licenses 1

Addresses

Other names 1

• cja health services Doing business as

Locations

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1205127107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "address_2": "SUITE M34 BOX14",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "443-708-7046",
            "fax_number": "443-708-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK RD",
            "address_2": "SUITE M34 BOX14",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124225",
            "telephone_number": "443-708-7046",
            "fax_number": "443-708-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "TYMINA-ODION",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-869-2082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cja health services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.