MJ Private Duty LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MJ PRIVATE DUTY LLC

Practice address

21865 Bedford Valley Dr.
Ste B
Macomb, MI 48044

Phone

(248) 780-7072

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

Joanna Tutt

Title

Co-Owner

Phone

(313) 633-5055

Specialties & licenses 1

Addresses

Other names 1

• MJ Private Duty Doing business as

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1285485441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21865 BEDFORD VALLEY DR.",
            "address_2": "STE B",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "248-780-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21865 BEDFORD VALLEY DR.",
            "address_2": "STE B",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "248-780-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ PRIVATE DUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "TUTT",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-633-5055"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MJ Private Duty",
            "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 Mar 27, 2024; 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.