Mjpavillion, Inc

LBN: Mj Children Pavillion, Inc
Mjpavillion, Inc is an health care organization with primary practice located at 728 S Endeavour Dr , Winter Springs FL 32708-5167. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Mj Children Pavillion, Inc can be contacted via phone (407) 462-5613, or through Tyrell, Joan via phone (407) 462-5613.

Contact Information

Primary practice address
728 S Endeavour Dr Winter Springs FL 32708-5167
Phone: (407) 462-5613
Fax: (407) 699-4255
Website:
Map and Directions
Authorized official contact:
Name: Tyrell, Joan
Phone: (407) 462-5613

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 18307100308 Florida

Profile Details

NPI number 1457601148
LBN Legal business name Mj Children Pavillion, Inc
DBA Doing business as Mjpavillion, Inc
Authorized official Tyrell, Joan
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 11th, 2012
Last updated Sep 11th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457601148 NPPES
Florida MEDICAID 230569100

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