MJ General, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MJ GENERAL, LLC

Practice address

2041 Martin Luther King Jr Ave SE Ste 230
Washington, DC 20020-7038

Phone

(202) 563-8690

Fax

(202) 563-8692

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ernest M Igwacho

Title

Ceo

Phone

(202) 563-8690

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Home health agency certification: CCN 097070

Legal name

MJ GENERAL LLC

Doing business as

MEIGER HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2015

Last certification

Oct 20, 2017

Ownership / control type

Non-Profit

Organization structure

LLCProprietary

Incorporated

Apr 25, 2008 in MD

Enrollment address

2041 Martin Luther King Jr Ave SE
Ste 230
Washington, DC 20020-7038

Listed as

MJ General LLC D/B/a Meiger HealthCCN 097070

Ownership

Non-Profit

Certified

Mar 25, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, 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.

• Vivian Mah Igwacho, CNP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1396158770

  Corporate Director

  CMS ownership

Practitioners 3

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

• Adenike Oluyemisi Folorunsho

  • Home Health Aide
  • Washington, DC
  • NPI 1396275830
  NPD (past)
• Joy Mpode Nkede

  • Home Health Aide
  • Washington, DC
  • NPI 1720686694
  NPD (past)
• Victor Umeh

  • Home Health Aide
  • Washington, DC
  • NPI 1518352822
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1851603286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207038",
            "telephone_number": "202-563-8690",
            "fax_number": "202-563-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207038",
            "telephone_number": "202-563-8690",
            "fax_number": "202-563-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ GENERAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "IGWACHO",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-563-8690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066020900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA 074802100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Miyares, MD
• Agwe Achu Miyeh
• Marisa Mize, CPNP,CPNP-AC
• Tony Carlos Mize
• Raphael Mordecai Mizrahi, PA
• MJM Anesthesia ,LLC
• MJM Anesthesia ,LLC
• MJM Anesthesia SP LLC
• Dickson M Mkama
• Gilbert Mkouonchou

• Developmental Disabilities Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Developmental Disabilities Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.