Provider Demographics
NPI:1578026514
Name:MAJESTIC HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAJESTIC HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:724-984-4895
Mailing Address - Street 1:405 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3721
Mailing Address - Country:US
Mailing Address - Phone:724-557-9293
Mailing Address - Fax:
Practice Address - Street 1:405 EVANS ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3721
Practice Address - Country:US
Practice Address - Phone:724-557-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care