JMJ ENTERPRISES NPI 1376799585

NPI Information

NPI: 1376799585
Provider Name: JMJ ENTERPRISES

Other Name: FRESH START HOME FOR CHILDREN

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2020 TEXTILE DR
GREENSBORO, NC
ZIP 27405
Phone: (336) 271-6982
Get Directions

JMJ ENTERPRISES is a community based residential treatment facility mental illness in Greensboro, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. JMJ ENTERPRISES NPI is 1376799585. The provider is registered as an organization entity type.
The provider Other Name Is Fresh Start Home For Children.

The provider's business location address is:

2020 TEXTILE DR
GREENSBORO, NC
ZIP 27405-857
Phone: (336) 271-6982
Fax: (336) 419-0456

The provider's authorized official is Traci Johnson Martin .
The authorized official title is Owner and has the following contact phone number (336) 375-3901.

The enumeration date for this NPI number is 8/7/2008 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-041-1095	NORTH CAROLINA	No
2	311ZA0620X	Custodial Care Facility	Adult Care Home	MHL-041-1115	NORTH CAROLINA	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL041857	NORTH CAROLINA	No
4	385H00000X	Respite Care		MHL-041-1115	NORTH CAROLINA	No
5	251S00000X	Community/Behavioral Health		MHL-041-1115	NORTH CAROLINA	No
6	251S00000X	Community/Behavioral Health		MHL-041-1095	NORTH CAROLINA	No
7	253Z00000X	In Home Supportive Care		MHL0411095	NORTH CAROLINA	No
8	253Z00000X	In Home Supportive Care		MHL-041-1115	NORTH CAROLINA	No
9	253Z00000X	In Home Supportive Care				No
10	311Z00000X	Custodial Care Facility				No
11	385H00000X	Respite Care		MHL-041-1095	NORTH CAROLINA	No
12	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »