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	011463	TX

General Provider Information

NPI Number	:	1609016310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJASA HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	9585 PLAZA CIR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79927-2005
Country	:	US
Telephone Number	:	915-629-2079
Fax Number	:	915-629-9899

Provider Business Practice Location Address
First Line	:	9585 PLAZA CIR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79927-2005
Country	:	US
Telephone Number	:	915-629-2079
Fax Number	:	915-629-9899

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. MARY MARTINEZ
Credential	:
Telephone Number	:	915-629-2079

Provider Enumeration Date	:	02/20/2009
Last Update Date	:	02/20/2009

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