Healthcare Provider Details

I. General information

NPI: 1588538227
Provider Name (Legal Business Name): MAJE HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2025
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MAJESTIC CV
MAUMELLE AR
72113-6289
US

IV. Provider business mailing address

127 AUDUBON DR STE C159
MAUMELLE AR
72113-5837
US

V. Phone/Fax

Practice location:
  • Phone: 501-442-5768
  • Fax: 501-442-5768
Mailing address:
  • Phone: 501-442-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. MICCOLE BLAKE
Title or Position: MANAGER
Credential:
Phone: 501-442-5768