MEDICARE: MAJESTIC TENDER CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3104A0630X	Assisted Living Facility (Behavioral Disturbances)

General Provider Information

NPI Number	:	1598474298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJESTIC TENDER CARE, LLC

Provider Business Mailing Address
First Line	:	185 E WINDMILL LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1716
Country	:	US
Telephone Number	:	323-251-7313
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 E WINDMILL LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1716
Country	:	US
Telephone Number	:	323-251-7313
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SHAFIQUE MUSA KAKOOZA
Credential	:
Telephone Number	:	323-251-7313

Provider Enumeration Date	:	11/21/2022
Last Update Date	:	11/21/2022

Similar Medicare Providers

1538614961 — AMERICAN SENIOR HOME LLC
Practice Location Address:

185 E WINDMILL LN
LAS VEGAS, NV
89123-1716

Practice Phone: 702-444-0792
Practice Fax:

1144304312 — FRANKLIN T NGUYEN DMD
Practice Location Address:

5060 S FORT APACHE RD
LAS VEGAS, NV
89148-1716

Practice Phone: 702-851-8200
Practice Fax:

1932515640 — OPTUM CLINIC PA
Practice Location Address:

5060 S FORT APACHE RD , SUITE 150
LAS VEGAS, NV
89148-1716

Practice Phone: 877-456-5506
Practice Fax:

1780090381 — OPTUM MEDICAL SERVICES PC
Practice Location Address:

5060 S FORT APACHE RD , SUITE 150
LAS VEGAS, NV
89148-1716

Practice Phone: 877-456-5506
Practice Fax:

1013324359 — DR. ELIZABETH DONG-HEE SUH O.D.
Practice Location Address:

5060 S FORT APACHE RD STE 150
LAS VEGAS, NV
89148-1716

Practice Phone: 702-586-5222
Practice Fax: 702-586-5224

1346814829 — CLAUDIA ZAMORA
Practice Location Address:

1716 LAMPLIGHTER LN
LAS VEGAS, NV
89104-3723

Practice Phone: 702-980-3154
Practice Fax:

Directions to “MAJESTIC TENDER CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.