Mja Enterprises Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3375 Issued in NC

Legal business name

MJA ENTERPRISES INC.

Practice address

7215 Pineville-Matthews Rd.,
200
Charlotte, NC 28226-6174

Phone

(704) 543-0630

Fax

(704) 543-0560

NPI assigned

Feb 19, 2007

Last updated

Feb 22, 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. Philip H. Koch, CSA, MBA

Title

President

Phone

(704) 543-0630

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ComForcare Home Care Former legal business name

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1598809824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 PINEVILLE-MATTHEWS RD.,",
            "address_2": "200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266174",
            "telephone_number": "704-543-0630",
            "fax_number": "704-543-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 PINEVILLE-MATTHEWS RD.,",
            "address_2": "200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266174",
            "telephone_number": "704-543-0630",
            "fax_number": "704-543-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJA ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-543-0630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "3418126",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601495",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valerie Finfrock Mittl, PH.D.
• Ethan Mix, DPT
• Jennifer E Mixter, P.A.
• Jordan Tyler Mizell, MD
• Mackenzie Mizell, MA
• Diana N Mjalli
• MK Health Service LLC
• MLC Holdings LLC
• MLM Home Care,LLC
• MM Home Care, LLC (Angels of Care)

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.