Provider Demographics
NPI:1609016310
Name:MAJASA HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:MAJASA HOME HEALTHCARE INC
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-629-2079
Mailing Address - Street 1:9585 PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-2005
Mailing Address - Country:US
Mailing Address - Phone:915-629-2079
Mailing Address - Fax:915-629-9899
Practice Address - Street 1:9585 PLAZA CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79927-2005
Practice Address - Country:US
Practice Address - Phone:915-629-2079
Practice Address - Fax:915-629-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011463251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health