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1750232427

NPI Code Detail

MEDICARE: MAJANE HOME LLC

MEDICARE: MAJANE HOME LLC

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
2	253J00000X	Foster Care Agency
3	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
4	385H00000X	Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1750232427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJANE HOME LLC

Provider Business Mailing Address
First Line	:	536 N TAYLOR AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1888
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 N TAYLOR AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1888
Country	:	US
Telephone Number	:	636-373-5759
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	UCHENNA OGBUOKIRI
Credential	:
Telephone Number	:	636-373-5759

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “MAJANE HOME LLC ” Practice Location

Language	Start Address	Practice Location

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