Provider Demographics
NPI:1477762946
Name:M &J ENTERPRISES OF NC,INC.
Entity Type:Organization
Organization Name:M &J ENTERPRISES OF NC,INC.
Other - Org Name:ALTERNATE CARE HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:TOMORROW
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-605-5142
Mailing Address - Street 1:PO BOX 19415
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9415
Mailing Address - Country:US
Mailing Address - Phone:704-605-5142
Mailing Address - Fax:
Practice Address - Street 1:11036 PADDERBORN CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-7394
Practice Address - Country:US
Practice Address - Phone:704-605-5142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601385Medicaid