Organization Active NPI

JMJ Enterprises,LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1285943753
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JMJ ENTERPRISES,LLC
Practice address
2216 W Meadowview Rd
Suite 109
Greensboro, NC 27407-3406
Phone
(336) 617-0469
Fax
(888) 502-5943
NPI assigned
Oct 1, 2010
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Ms. Traci Martin
Title
Owner/Ceo
Phone
(336) 271-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2216 W Meadowview Rd
Suite 109
Greensboro, NC 27407-3406

Mailing address

2020 Textile Dr
Greensboro, NC 27405-5857
Phone (336) 271-6982

National Provider Directory

National Provider Directory
Tax ID family
Fresh Start Home for Children5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1285943753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 TEXTILE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055857",
            "telephone_number": "336-271-6982",
            "fax_number": "336-271-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 W MEADOWVIEW RD",
            "address_2": "SUITE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073406",
            "telephone_number": "336-617-0469",
            "fax_number": "888-502-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ ENTERPRISES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-271-6982",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.