Organization Active NPI

M&J Home Care, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • St Petersburg, FL
National Provider Identifier
1922389907
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AL8249 Issued in FL
Legal business name
M&J HOME CARE, INC
Practice address
5200 17TH St N
St Petersburg, FL 33714-2706
Phone
(727) 525-1906
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mrs. June Morris-Collier
Title
Administrator
Phone
(727) 463-0354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL8249 FL Primary

Addresses

Primary practice location

5200 17TH St N
St Petersburg, FL 33714-2706

Mailing address

5200 17TH St N
St Petersburg, FL 33714-2706

Other identifiers 1

IdentifierTypeStateIssuer
678845996MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Bay Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1922389907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 17TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 17TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142706",
            "telephone_number": "727-525-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&J HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS-COLLIER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-463-0354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "AL8249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678845996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.