Dmja Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10H563 Issued in CO

Legal business name

DMJA ENTERPRISES LLC

Doing business as

Agape Care

Practice address

1229 N 23Rd St
Suite 104
Grand Junction, CO 81501-6568

Phone

(970) 283-3820

Fax

(970) 245-7481

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By 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

Mr. Eric M Goff

Title

President

Phone

(970) 283-3820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Agape Care Doing business as

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1316287709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N 23RD ST",
            "address_2": "SUITE 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016568",
            "telephone_number": "970-283-3820",
            "fax_number": "970-245-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N 23RD ST",
            "address_2": "SUITE 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016568",
            "telephone_number": "970-283-3820",
            "fax_number": "970-245-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMJA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-283-3820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "10H563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS B LICENSE NUMBER",
            "identifier": "10H563",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.