CJM Holdings LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL032139 Issued in NC

Legal business name

CJM HOLDINGS LLC

Doing business as

Maxs Place Family Care Home

Practice address

4111 Kismet Dr
Durham, NC 27705-2838

Phone

(919) 632-2706

NPI assigned

Dec 30, 2014

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Camp

Title

Operations Manager

Phone

(919) 632-2706

Specialties & licenses 1

Addresses

Other names 1

• Maxs Place Family Care Home Doing business as

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1245628197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ATTERBURY LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122615",
            "telephone_number": "919-294-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 KISMET DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052838",
            "telephone_number": "919-632-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJM HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "919-632-2706"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL032139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxs Place Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Antonio Cisneros, LCSW-A
• Sindhura Citineni, DDS
• City of Jesus Promise Land, LLC
• City of Medicine Volunteer Medical Corps
• Citypt Inc
• Kelsey Ann Clabby, MD
• John Preston Claiborne, MD
• Carolina P Clancy, PH.D.
• Renn Deanna Clapp
• Clara P Davis, DDS, PLLC

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.