Healthcare Provider Details

I. General information

NPI: 1356977912
Provider Name (Legal Business Name): MAJESTIC CARE OF CELINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2020
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MYERS RD
CELINA OH
45822-4114
US

IV. Provider business mailing address

777 E MAIN ST STE 210
WESTFIELD IN
46074-5301
US

V. Phone/Fax

Practice location:
  • Phone: 419-584-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BERNARD MCGUINNESS
Title or Position: OFFICER
Credential:
Phone: 718-380-8882