MMJ Homecare Solutions

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MMJ HOMECARE SOLUTIONS

Practice address

2600 Elmin St
Charlotte, NC 28208-6004

Phone

(704) 315-1293

NPI assigned

Jul 4, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Fetterson

Title

Director

Phone

(704) 315-1293

Specialties & licenses 2

Addresses

Other names 1

• Luv n Grace Home Care Doing business as

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1336985753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 CARVER FALLS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ELMIN ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282086004",
            "telephone_number": "704-315-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMJ HOMECARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "FETTERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-315-1293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luv n Grace Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luv n Grace Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana N Mjalli
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• Rachel Moberg
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• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.