MJ Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011725 Issued in TX

Legal business name

MJ HOME HEALTH AGENCY INC

Practice address

3939 US Highway 80 E
Suite 428
Mesquite, TX 75150-3359

Phone

(972) 216-4894

Fax

(972) 285-5185

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

John Ani OzoNPI 1881878627

Title

Administrator

Phone

(972) 216-4894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 457981

Legal name

MJ HOME HEALTH AGENCY INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 24, 2006

Last certification

Sep 30, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 4, 2007 in TX

Enrollment address

3939 E US Hwy 80
Suite 428
Mesquite, TX 75150-8108

Listed as

MJ Home Health Agency IncCCN 457981

Ownership

Proprietary

Certified

Jan 24, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Martha Ego Ozo, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesquite, TX
  • NPI 1407319197

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A Ozo

  • Home Health Agency
  • Mesquite, TX
  • NPI 1881878627
  NPD Authorized official
• Martha Ego Ozo, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesquite, TX
  • NPI 1407319197
  NPD

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1710163316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 428",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751508108",
            "telephone_number": "972-216-4894",
            "fax_number": "972-285-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E",
            "address_2": "SUITE 428",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503359",
            "telephone_number": "972-216-4894",
            "fax_number": "972-285-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "OZO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-216-4894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Krista Nichole Mitchell
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• Jamie K Modrall, FNP
• Ghedi Abdulaziz Mohamed
• Barbara Mohrle, OT

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.