Healthcare Provider Details

I. General information

NPI: 1306413547
Provider Name (Legal Business Name): MAJESTY HOME CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23615 BALZANO CT
KATY TX
77493-3156
US

IV. Provider business mailing address

23615 BALZANO CT
KATY TX
77493-3156
US

V. Phone/Fax

Practice location:
  • Phone: 973-919-3408
  • Fax:
Mailing address:
  • Phone: 973-919-3408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MONSURAT SALVADOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 973-919-3408