JMJ Enterpise LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

JMJ ENTERPISE LLC

Doing business as

JMJ Faithful Care Service

Practice address

14547 W Acapulco LN
Surprise, AZ 85379-8548

Phone

(623) 428-4429

NPI assigned

Jan 24, 2020

Organization subpart

No

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

Authorized official

Name

Joseph Ezell

Title

Administrator

Phone

(602) 628-7207

Specialties & licenses 1

Addresses

Other names 1

• JMJ Faithful Care Service Doing business as

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1245860683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14804 N 130TH LN",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853353436",
            "telephone_number": "623-428-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 W ACAPULCO LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798548",
            "telephone_number": "623-428-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ ENTERPISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-628-7207"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMJ Faithful Care Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Jensen
• Matthew O. Jensen, DMD
• Travis Steven Jensen, DPM
• Naomi Nicole Jimenez, NP
• Gene Jiongco, PHARMD
• Angela Johansson, DO
• John Y Kim DDS, PC
• Abimbola Johnson, PHARM.D.
• Beuresa K. Johnson
• Brady James Johnson, DC

• Mental Illness Community Based Residential Treatment Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.