MJJ Homes, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MJJ HOMES, LLC

Practice address

207 N Bel Air St
Anaheim, CA 92801-6205

Phone

(714) 828-5117

Fax

(714) 236-5205

NPI assigned

Jun 25, 2022

Organization subpart

No

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

Authorized official

Name

Prescila Santos Barrios, RN

Title

Administrator

Phone

(714) 296-5135

Specialties & licenses 1

Addresses

Other names 1

• MJJ HOMES / BEL AIR Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G521

Legal name

MJJ HOMES / BEL AIR

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 22, 2005

Last certification

Mar 19, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

207 N Bel Air Street
Anaheim, CA 92801

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1275265647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MARINER CV",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211662",
            "telephone_number": "714-296-5135",
            "fax_number": "714-229-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BEL AIR ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928016205",
            "telephone_number": "714-828-5117",
            "fax_number": "714-236-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJJ HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "PRESCILA",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-296-5135",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJJ HOMES / BEL AIR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette N Mitsuhata, LCSW
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.