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General NPI Number Information
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NPI Number | 1356899942
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Entity Type | Organization
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Legal Business Name | MAJESTIC HOME HEALTHCARE LLC.
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 58759 PEMBROOKE AVE
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City | NEW HAVEN
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State | MI
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Zip | 48048-2804
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Country | US
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Telephone | 586-883-6780
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Fax | 586-883-6743
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Provider Business Mailing Address
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Address Line | 22777 HARPER AVE SUITE 207 #1049
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City | ST. CLAIR SHORES
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State | MI
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Zip | 48080
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Country | US
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Telephone | 586-883-6780
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Fax | 586-883-6743
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT NICHOLS
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Credential |
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Telephone | 586-883-6780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8025930
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License Number State | MI
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