Healthcare Provider Details

I. General information

NPI: 1144029315
Provider Name (Legal Business Name): MEJ SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2196 STATE ROUTE 363
MINSTER OH
45865-9725
US

IV. Provider business mailing address

1720 W STADIUM BLVD
ANN ARBOR MI
48103-5225
US

V. Phone/Fax

Practice location:
  • Phone: 574-855-0073
  • Fax:
Mailing address:
  • Phone: 574-855-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW ELI JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 574-855-0073