Provider Demographics
NPI:1578220265
Name:MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC
Entity Type:Organization
Organization Name:MAJESTIC CARE OF TOLEDO AL OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUINNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-380-8882
Mailing Address - Street 1:777 E MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-5301
Mailing Address - Country:US
Mailing Address - Phone:317-288-4029
Mailing Address - Fax:
Practice Address - Street 1:131 N WHEELING ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-1544
Practice Address - Country:US
Practice Address - Phone:419-724-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility