Active NPI
MCJ Homemaker and Companion Services LLC
- Assisted Living Facility
- Homestead, FL
National Provider Identifier
1659512721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- L07000062435
- Legal business name
- MCJ HOMEMAKER AND COMPANION SERVICES LLC
- Practice address
- 14434 SW 293Rd Ter
Homestead, FL 33033-2953 - Phone
- (786) 547-9454
- Fax
- (305) 245-0980
- NPI assigned
- Mar 18, 2009
- Last updated
- Mar 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Maria del Carmen Jerez
- Title
- MGRM
- Phone
- (786) 547-9454
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | L07000062435 | FL | Primary |
| Adult Care Home Facility | 311ZA0620X | L07000062465 | FL | |
| Respite Care | 385H00000X | L07000062435 | FL | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | L07000062435 | FL | |
| Child Physical Disabilities Respite Care | 385HR2065X | L07000062465 | FL | |
| Child Physical Disabilities Respite Care | 385HR2065X | L07000062435 | FL |
Addresses
Primary practice location
14434 SW 293Rd Ter
Homestead, FL 33033-2953
Mailing address
12355 SW 259TH Ter
Homestead, FL 33032-7073
Phone (786) 547-9454
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1659512721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12355 SW 259TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327073",
"telephone_number": "786-547-9454",
"fax_number": "305-245-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14434 SW 293RD TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330332953",
"telephone_number": "786-547-9454",
"fax_number": "305-245-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCJ HOMEMAKER AND COMPANION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "JEREZ",
"authorized_official_first_name": "MARIA DEL CARMEN",
"authorized_official_title_or_position": "MGRM",
"authorized_official_telephone_number": "786-547-9454",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "L07000062435",
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "L07000062465",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "FL",
"license": "L07000062435",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "L07000062435",
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "FL",
"license": "L07000062465",
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "FL",
"license": "L07000062435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.