Provider Demographics
NPI:1316626187
Name:JM MAGICIAL HOME CARE LLC
Entity type:Organization
Organization Name:JM MAGICIAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIKA
Authorized Official - Middle Name:DEONE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-325-8423
Mailing Address - Street 1:450 CHESTER ARTHUR DRIVE
Mailing Address - Street 2:208
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187
Mailing Address - Country:US
Mailing Address - Phone:734-325-8423
Mailing Address - Fax:313-784-9053
Practice Address - Street 1:450 CHESTER ARTHUR DRIVE
Practice Address - Street 2:208
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187
Practice Address - Country:US
Practice Address - Phone:734-325-8423
Practice Address - Fax:313-784-9053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health