NPIMap

Organization Active NPI

JMJ Enterprises

  • Mental Illness Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1376799585
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JMJ ENTERPRISES
Practice address
2020 Textile Dr
Greensboro, NC 27405-5857
Phone
(336) 271-6982
Fax
(336) 419-0456
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Ms. Traci Johnson Martin
Title
Owner
Phone
(336) 375-3901

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-041-1115 NC
Community/Behavioral Health Agency 251S00000X MHL-041-1095 NC
In Home Supportive Care Agency 253Z00000X MHL0411095 NC
In Home Supportive Care Agency 253Z00000X MHL-041-1115 NC
In Home Supportive Care Agency 253Z00000X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X MHL-041-1095 NC
Adult Care Home Facility 311ZA0620X MHL-041-1115 NC
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL041857 NC
Respite Care 385H00000X MHL-041-1115 NC
Respite Care 385H00000X MHL-041-1095 NC

Addresses

Primary practice location

2020 Textile Dr
Greensboro, NC 27405-5857

Mailing address

2020 Textile Dr
Greensboro, NC 27405-5857
Phone (336) 988-1552

Other practice location 1

1929 Murrayhill Rd
Greensboro, NC 27403-3726
Phone (336) 271-6982

Other practice location 2

2006 Old Jones Rd
Greensboro, NC 27406-4916
Phone (336) 271-6982

Other practice location 3

3212 Presley Way
Greensboro, NC 27405-3598
Phone (336) 271-6982

Other names 1

  • Fresh Start Home for Children Other name

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": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1376799585",
    "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": "336-988-1552",
            "fax_number": "336-272-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TEXTILE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055857",
            "telephone_number": "336-271-6982",
            "fax_number": "336-419-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1929 Murrayhill Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274033726",
            "country_code": "US",
            "telephone_number": "336-271-6982",
            "fax_number": "336-419-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Old Jones Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274064916",
            "country_code": "US",
            "telephone_number": "336-271-6982",
            "fax_number": "336-419-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3212 Presley Way",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274053598",
            "country_code": "US",
            "telephone_number": "336-271-6982",
            "fax_number": "336-419-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JMJ ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-375-3901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-1115",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-041-1095",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "MHL0411095",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "MHL-041-1115",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-041-1095",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL-041-1115",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL041857",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-041-1115",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-041-1095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Home for Children",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fresh Start Home for Children",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 3, 2022; 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.