Mahjustic Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3194 Issued in NC

Legal business name

MAHJUSTIC HOME HEALTH LLC

Practice address

1710 Pergola PL
Charlotte, NC 28213-2107

Phone

(704) 858-0883

Fax

(704) 503-5777

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By 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

Veronica Darnell

Title

Agency Director

Phone

(704) 858-0883

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902968498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PERGOLA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132107",
            "fax_number": "704-503-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PERGOLA PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282132107",
            "telephone_number": "704-858-0883",
            "fax_number": "704-503-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHJUSTIC HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-858-0883"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameka M Mahatha, OT
• Shivani Mahendar, OD
• Alexis Maher
• Carey Maher
• Terryn Maher, MA, LCMHC, NCC
• Michael J Mahlau
• Fizah Mahmood, LCMHCA, NCC
• Karim Abdel Mahmoud, PA-C
• Rebecca Laura Mahmoud, PMHNP-BC
• Yasser Mahmud

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.