Provider Demographics
NPI:1235610221
Name:CJC ENTERPRISES, INC.
Entity Type:Organization
Organization Name:CJC ENTERPRISES, INC.
Other - Org Name:COMFORCARE HOME CARE - GREATER CHARLOTTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CLEMENTE
Authorized Official - Last Name:COSTANZO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:919-931-9908
Mailing Address - Street 1:7215 PINEVILLE MATTHEWS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6174
Mailing Address - Country:US
Mailing Address - Phone:704-543-0630
Mailing Address - Fax:704-543-0560
Practice Address - Street 1:7215 PINEVILLE MATTHEWS RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6174
Practice Address - Country:US
Practice Address - Phone:704-543-0630
Practice Address - Fax:704-543-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health