MJK Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MJK HOME HEALTH CARE LLC

Practice address

637 W. York Street
Philadelphia, PA 19133

Phone

(215) 989-9595

NPI assigned

Oct 22, 2024

Organization subpart

No

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

Authorized official

Name

Jereda GullattNPI 1811719560

Title

Alt. Administrator

Phone

(267) 679-9412

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jereda Gullatt

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1811719560
  NPD Authorized official

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1831910892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MARGATE RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190824614",
            "telephone_number": "215-989-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W. YORK STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19133",
            "telephone_number": "215-989-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJK HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "GULLATT",
        "authorized_official_first_name": "JEREDA",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "267-679-9412"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen K Miura, MD
• Josephine Mixson, LPC
• Curtis Miyamoto, M.D.
• Nataliya Miz
• Tina L Mize, PA
• MK DME Supplies LLC
• MK Glam RX
• MK Hearing Center Inc
• MKJ Homecare LLC
• Anuli Nwaife Mkparu, MD, MBA, MSC

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.