Provider Demographics
NPI:1093722712
Name:MAJESTIC HEALTHCARE, INC.
Entity Type:Organization
Organization Name:MAJESTIC HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:469-826-4352
Mailing Address - Street 1:1608 FLOWERS DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1469
Mailing Address - Country:US
Mailing Address - Phone:469-826-4352
Mailing Address - Fax:469-574-5135
Practice Address - Street 1:1608 FLOWERS DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1469
Practice Address - Country:US
Practice Address - Phone:469-826-4352
Practice Address - Fax:469-574-5135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010380251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health