Provider Demographics
NPI:1235866294
Name:MAJESTI IN HOME HEALTHARE AGENCY,LLC
Entity Type:Organization
Organization Name:MAJESTI IN HOME HEALTHARE AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:BENTON-MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-425-3744
Mailing Address - Street 1:135 DONNA LYN DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-4608
Mailing Address - Country:US
Mailing Address - Phone:901-314-8420
Mailing Address - Fax:901-425-3739
Practice Address - Street 1:2874 SHELBY ST STE 200
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-4558
Practice Address - Country:US
Practice Address - Phone:901-425-3744
Practice Address - Fax:901-425-3739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health