NPI Code Details Logo

NPI 1568827665

NPI 1568827665 : MAJESTIC PERSONAL CARE SERVICES, LLC : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568827665
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MAJESTIC PERSONAL CARE SERVICES, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/17/2015
-----------------------------------------------------
    Last Update Date     |    03/12/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1300 N SAM HOUSTON PKWY E STE 350 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77032-2974
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-282-2045
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3614 APPLE HOLLOW LN 
-----------------------------------------------------
    City                 |    HUMBLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77396-3937
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-818-1284
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MR. CHRISTOPHER  GOODWIN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    832-288-2531
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    385H00000X
-----------------------------------------------------
    Taxonomy Name        |    Respite Care
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3747P1801X
-----------------------------------------------------
    Taxonomy Name        |    Personal Care Attendant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.