MEDICARE: MAJESTIC HOME HEALTH CARE, 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	550000900	CA

General Provider Information

NPI Number	:	1740481241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJESTIC HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	11434 VANOWEN ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-6220
Country	:	US
Telephone Number	:	818-392-7900
Fax Number	:	818-392-7611

Provider Business Practice Location Address
First Line	:	11434 VANOWEN ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-6220
Country	:	US
Telephone Number	:	818-392-7900
Fax Number	:	818-392-7611

Authorized Official
Title or Position	:	CEO
Name	:	ARAM MELKONYAN
Credential	:
Telephone Number	:	818-392-7900

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	05/05/2015

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