Provider Demographics
NPI:1477007557
Name:MAJESTIC CONSULTING
Entity Type:Organization
Organization Name:MAJESTIC CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:YQUADEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-643-1969
Mailing Address - Street 1:PO BOX 949
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-0949
Mailing Address - Country:US
Mailing Address - Phone:832-643-1969
Mailing Address - Fax:
Practice Address - Street 1:24135 MCKINZIE RIDGE DR
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-6529
Practice Address - Country:US
Practice Address - Phone:832-643-1969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-07
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X, 253Z00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care