Provider Demographics
NPI:1558595413
Name:MAJESTIC HOME CARE
Entity Type:Organization
Organization Name:MAJESTIC HOME CARE
Other - Org Name:RODNEY TAYLOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-843-6917
Mailing Address - Street 1:321 N VANCE ST
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-1341
Mailing Address - Country:US
Mailing Address - Phone:910-843-6917
Mailing Address - Fax:910-843-6915
Practice Address - Street 1:303 1/2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-1623
Practice Address - Country:US
Practice Address - Phone:910-843-6917
Practice Address - Fax:910-843-6915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAJESTIC HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-07
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2866251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408190Medicaid