NPIMap

Organization Active NPI

MJ Care, Inc.

  • Skilled Nursing Facility
  • Milwaukee, WI
National Provider Identifier
1366710949
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1130-27 Issued in WI
Legal business name
MJ CARE, INC.
Practice address
2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147
Phone
(800) 776-7016
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Jennifer Lynn Stuczynski
Title
Occupational Therapy Assistant
Phone
(715) 572-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1130-27 WI Primary

Addresses

Primary practice location

2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147

Mailing address

2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147

National Provider Directory

National Provider Directory
Tax ID family
Mjcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1366710949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272147",
            "telephone_number": "800-776-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "STUCZYNSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "715-572-3586"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1130-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.