MEDICARE: MAJASA HOME HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	010987	TX

General Provider Information

NPI Number	:	1437277944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJASA HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	1600 N LEE TREVINO DR
Second Line	:	SUITE C-3
City	:	EL PASO
State	:	TX
Zip	:	79936-5169
Country	:	US
Telephone Number	:	915-633-8900
Fax Number	:	915-590-7222

Provider Business Practice Location Address
First Line	:	1600 N LEE TREVINO DR
Second Line	:	SUITE C-3
City	:	EL PASO
State	:	TX
Zip	:	79936-5169
Country	:	US
Telephone Number	:	915-633-8900
Fax Number	:	915-590-7222

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FERNANDO MUNIZ
Credential	:	LPC
Telephone Number	:	915-633-8900

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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