JMJ ENTERPISE LLC NPI 1245860683

NPI Information

NPI: 1245860683
Provider Name: JMJ ENTERPISE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
14547 W ACAPULCO LN
SURPRISE, AZ
ZIP 85379
Phone: (623) 428-4429
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JMJ ENTERPISE LLC is a community based residential treatment facility mental illness in Surprise, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. JMJ ENTERPISE LLC NPI is 1245860683. The provider is registered as an organization entity type.

The provider's business location address is:

14547 W ACAPULCO LN
SURPRISE, AZ
ZIP 85379-548
Phone: (623) 428-4429

The provider's authorized official is Joseph Ezell .
The authorized official title is Administrator and has the following contact phone number (602) 628-7207.

The enumeration date for this NPI number is 1/24/2020 and was last updated on 1/24/2020.

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	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

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