CMJ Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CMJ HOME HEALTHCARE LLC

Practice address

128 S Tyron Street
Suite 1900 (18/19TH Floor)
Charlotte, NC 28202

Phone

(704) 670-7629

NPI assigned

Mar 22, 2022

Last updated

Sep 30, 2025By 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

Shikare Wilson

Title

Owner

Phone

(704) 670-7629

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CMJ Home Healthcare LLC Former legal business name

Locations

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1336898766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S TYRON STREET",
            "address_2": "SUITE 1900 (18/19TH FLOOR)",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-670-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S TYRON STREET",
            "address_2": "SUITE 1900 (18/19TH FLOOR)",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-670-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMJ HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHIKARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-670-7629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-2265452",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMJ Home Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CMJ Home Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.