Provider Demographics
NPI:1255847984
Name:MAJESTIC HOSPICE & HOME HEALTH LLC
Entity Type:Organization
Organization Name:MAJESTIC HOSPICE & HOME HEALTH LLC
Other - Org Name:MAJESTIC HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:WARRIACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-779-0100
Mailing Address - Street 1:16360 MONTEREY ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5454
Mailing Address - Country:US
Mailing Address - Phone:408-707-5622
Mailing Address - Fax:
Practice Address - Street 1:16360 MONTEREY ST STE 140
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5454
Practice Address - Country:US
Practice Address - Phone:408-779-0100
Practice Address - Fax:408-779-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based