Provider Demographics
NPI:1104659788
Name:MJ 247 CARE SERVICES LLC
Entity type:Organization
Organization Name:MJ 247 CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNKHTUYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENKHBAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-314-0973
Mailing Address - Street 1:21000 SOUTHBANK STREET SUITE 106 #1208
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7227
Mailing Address - Country:US
Mailing Address - Phone:717-314-0973
Mailing Address - Fax:
Practice Address - Street 1:21000 SOUTHBANK STREET SUITE 106 #1208
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7227
Practice Address - Country:US
Practice Address - Phone:717-314-0973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care