MJ Eldercare Holding Company, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MJ ELDERCARE HOLDING COMPANY, LLC

Practice address

100 N Dixieland Rd Ste A5
Rogers, AR 72756-1118

Phone

(501) 516-1138

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Matthew McClure, ED.D.

Title

Ceo

Phone

(501) 516-1138

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Doing business as

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1700529732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 HIGHWAY 321",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129741",
            "telephone_number": "501-516-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N DIXIELAND RD STE A5",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561118",
            "telephone_number": "501-516-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ ELDERCARE HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-516-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222325732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Elizabeth Mitchell, CF-SLP
• Mackenzie Emily Mitchell, PT, DPT
• Penchala Swamy Mittadodla, MD
• Whitney E Mix, LPC
• Andrew Mize, PHARM.D.
• Mobilecare
• Kyle Mock, M.D.
• Katie Mohlman, APRN-C, WHNP
• Momentum Counseling, PLLC
• Momentum Health Industries Inc

• Home Health Agency in Rogers, AR
• Providers in Rogers, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.