Healthcare Provider Details

I. General information

NPI: 1003743428
Provider Name (Legal Business Name): MJ BLOOMINGCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37327 CHARTER OAKS BLVD
CLINTON TWP MI
48036-4433
US

IV. Provider business mailing address

37327 CHARTER OAKS BLVD
CLINTON TWP MI
48036-4433
US

V. Phone/Fax

Practice location:
  • Phone: 586-625-2690
  • Fax:
Mailing address:
  • Phone: 586-625-2690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MIRJANA JOVESKA
Title or Position: OWNER
Credential:
Phone: 586-625-2690