Organization Active NPI

Mjay Supportive Care Agency LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1669356846
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MJAY SUPPORTIVE CARE AGENCY LLC
Doing business as
Mjay Supportive Care Agency LLC
Practice address
4011 W Capitol Dr
Milwaukee, WI 53216-2557
Phone
(414) 249-4278
Fax
(414) 249-4758
NPI assigned
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Marcia MaxwellNPI 1720569858
Title
Administrator
Phone
(414) 249-4278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4011 W Capitol Dr
Milwaukee, WI 53216-2557

Mailing address

4011 W Capitol Dr
Milwaukee, WI 53216-2557
Phone (414) 249-4278

Other names 1

  • Mjay Supportive Care Agency LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4011 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 249-4278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1669356846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162557",
            "telephone_number": "414-249-4278",
            "fax_number": "414-249-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162557",
            "telephone_number": "414-249-4278",
            "fax_number": "414-249-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJAY SUPPORTIVE CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-249-4278"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mjay Supportive Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2025; 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.