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General NPI Number Information
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NPI Number | 1194624601
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Entity Type | Organization
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Legal Business Name | MAJESTIC CARE AL OF SAGAMORE HILLS LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 997 W AURORA RD
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City | SAGAMORE HILLS
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State | OH
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Zip | 44067-1605
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Country | US
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Telephone | 330-943-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 997 W AURORA RD
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City | SAGAMORE HILLS
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State | OH
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Zip | 44067-1605
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Country | US
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Telephone | 330-943-0491
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL PRUITT
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Credential | PRUITT
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Telephone | 317-998-2690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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