MJ CARE INC. (NPI# 1346599727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346599727 |
| Entity Type | Organization |
| Organization Name | MJ CARE INC. |
| Practice Address |
1505 Butts Ave Tomah WI 54660-2405 |
| Mailing Address |
2448 S 102nd St Suite 340 Milwaukee WI 53227-2466 |
| Practice Telephone | 6083723241 |
| Practice Fax Number | 6083723250 |
| Mailing Telephone | 1800776701 |
| Mailing Fax Number | 1800350424 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | MRS. CHRISTINA LOUISE DONOVAN (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 6083435663 |
| Authorized Official Credential | P.T.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1907-19 | WI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MJ CARE INC. | 2448 S 102nd St, Suite 340, Milwaukee, WI 53227 |
| Street Address |
1505 BUTTS AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723205 | Ccg Tomah Inc. | Skilled Nursing Facility | 1505 Butts Ave, Tomah, WI 54660-2405 | 2005-07-12 |
| 1487275335 | Amy Weninger | Occupational Therapist | 1505 Butts Ave, Tomah, WI 54660-2405 | 2020-05-01 |
| 1497304414 | Nichole Cruse | Physical Therapist | 1505 Butts Ave, Tomah, WI 54660-2405 | 2019-09-11 |
| 1558833996 | Marissa Toelle | Occupational Therapy Assistant | 1505 Butts Ave, Tomah, WI 54660-2405 | 2018-12-26 |
| 1164918652 | Rebecca Kerby | Physical Therapy Assistant | 1505 Butts Ave, Tomah, WI 54660-2405 | 2018-07-08 |
| 1134630536 | Zachary Raymond Ellis | Physical Therapist | 1505 Butts Ave, Tomah, WI 54660-2405 | 2017-10-12 |
| 1629465562 | Sarah Purzner | Licensed Practical Nurse | 1505 Butts Ave, Tomah, WI 54660-2405 | 2015-04-17 |
| 1518234897 | Lori L Thomas | Occupational Therapy Assistant | 1505 Butts Ave, Tomah, WI 54660-2405 | 2011-11-30 |
| 1275800542 | Sara Chapiewsky | Physical Therapy Assistant | 1505 Butts Ave, Tomah, WI 54660-2405 | 2011-11-30 |
| 1083892186 | Orion Tomah LLC | Skilled Nursing Facility | 1505 Butts Ave, Tomah, WI 54660-2405 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313074 | Byond Physical Therapy, LLC | Clinic/Center | 11320 W Forest Home Ave, Franklin, WI 53132-1401 | 2020-10-13 |
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1790311199 | Exos Wi LLC | Clinic/Center | 7044 S Ballpark Dr Ste 300, Franklin, WI 53132-6910 | 2020-03-17 |
| 1831735885 | Garvey Physical Therapy & Wellness LLC | Clinic/Center | 417 Maple Ct, Campbellsport, WI 53010-3531 | 2019-11-25 |
| 1821649088 | Impact Physical Therapy & Performance LLC | Clinic/Center | 1155 Clarity Dr, Verona, WI 53593-9318 | 2019-09-27 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1558917617 | Quad/med, LLC | Clinic/Center | N61 W23044 Harry's Way, Sussex, WI 53089 | 2019-08-14 |
| 1619521267 | Space To Be Well, LLC | Clinic/Center | 1091 Sutherland Ave, River Falls, WI 54022-7509 | 2019-07-31 |
| 1346894656 | Cornerstone Physical Therapy, LLC | Clinic/Center | 2829 County Highway I Ste 3, Chippewa Falls, WI 54729-2678 | 2019-07-25 |
| 1619437514 | Resilience Rx LLC | Clinic/Center | 4708 Graywood Ct Apt 3, Nashotah, WI 53058-9688 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.