MJM HEALTH AGENCY, INC. (NPI# 1609954668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609954668 |
Entity Type | Organization |
Organization Name | MJM HEALTH AGENCY, INC. |
Practice Address |
5517 South Michigan Street Lower Level Chicago IL 60615 |
Mailing Address |
12807 Falcon Ct Lemont IL 60439-7300 |
Practice Telephone | 7736430227 |
Practice Fax Number | 7736430227 |
Mailing Telephone | 7736430227 |
Mailing Fax Number | 7736430227 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. KEMI ASSISAT ANDU-ALAUSA (PRESIDENT) |
Authorized Official Telephone | 6306706416 |
Authorized Official Credential | CPA, MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | 1765224 | IL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE LICENSE | 1765224 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MJM HEALTH AGENCY, INC. | 211 North Hammes Avenue, Joliet, IL 60435-8113 |
Street Address |
5517 SOUTH MICHIGAN STREET LOWER LEVEL |
City | CHICAGO |
State | IL |
Zip Code | 60615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
Find all providers in zip 60615 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
1457962144 | Anuco Home Health Care LLC | Home Health | 17 N Leclaire Ave Apt 2w, Chicago, IL 60644-4104 | 2020-08-14 |
1811507361 | Potential Unlimited LLC | Home Health | 5140 N Oakley Ave, Chicago, IL 60625-1847 | 2020-08-08 |
1275143166 | Pure Touch Home Health LLC | Home Health | 2059 W 82nd St, Chicago, IL 60620-5343 | 2020-08-05 |
1316565773 | Global Heritage Home Healthcare, Inc | Home Health | 6630 N Campbell Ave Unit 1, Chicago, IL 60645-5019 | 2020-07-10 |
1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
1588293633 | Stellar Home Network | Home Health | 3530 W Peterson Ave Ste 101, Chicago, IL 60659-3294 | 2020-04-01 |
1518599406 | Illuminate Touch LLC | Home Health | 1109 S Mason Ave, Chicago, IL 60644-5341 | 2020-02-07 |
1134764137 | Wholistic Home Health Care LLC | Home Health | 6854 S Perry Ave, Chicago, IL 60621-3799 | 2019-11-13 |
1346884863 | Virtue Home Care | Home Health | 3924 W North Ave, Chicago, IL 60647-4618 | 2019-10-29 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.