MJ Senior Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MJ SENIOR HOMECARE, LLC

Doing business as

Visiting Angels of Grosse Pointe

Practice address

23229 Nine Mack Dr
Saint Clair Shores, MI 48080-1969

Phone

(586) 777-9217

Fax

(586) 777-5222

NPI assigned

Nov 9, 2021

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Grace AzzougNPI 1699431288

Title

Owner

Phone

(313) 450-3601

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels of Grosse Pointe Doing business as

Locations

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.

• Dana Azzoug

  • Home Health Aide
  • Saint Clair Shores, MI
  • NPI 1699431288
  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1861158479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23229 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-777-9217",
            "fax_number": "586-777-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23229 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-777-9217",
            "fax_number": "586-777-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ SENIOR HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "AZZOUG",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-450-3601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Grosse Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryann P. Mitchell, M.A. SLP-CFY
• Vanessa Mitchell, DDS
• Vince Edward Mitchell, DDS
• Mitten Center for Psychological Trauma, LLC (Mitten Center for Psychological Trauma)
• Loretta Mitton, MA, LLP
• Kathryn Mlynarek
• Venkat Ramana Modukuru, MBBS MD MRCS
• Joram O Mogaka, MD
• Brilio Conrado Mojares, MD
• Gail Ellen Molinari, D.D.S., M.S., M.S.

• Home Health Agency in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.