Healthcare Provider Details

I. General information

NPI: 1013282896
Provider Name (Legal Business Name): THE MAJASTAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2012
Last Update Date: 03/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 FAIRHILL RD SUITE B203
CLEVELAND OH
44120-1058
US

IV. Provider business mailing address

12200 FAIRHILL RD SUITE B203
CLEVELAND OH
44120-1058
US

V. Phone/Fax

Practice location:
  • Phone: 216-231-6400
  • Fax: 216-231-6341
Mailing address:
  • Phone: 216-231-6400
  • Fax: 216-231-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CONSTANCE HILL-JOHNSON
Title or Position: PRESIDENT/MANAGING DIRECTOR
Credential: MPA
Phone: 216-231-6400