Organization Active NPI

MCJ Homemaker and Companion Services LLC

  • Assisted Living Facility
  • Homestead, FL
National Provider Identifier
1659512721
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
L07000062435 Issued in FL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.