Provider Demographics
NPI:1851429724
Name:MAJESTIK CARE PROVIDERS INC.
Entity Type:Organization
Organization Name:MAJESTIK CARE PROVIDERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:GERTRUDE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-685-0838
Mailing Address - Street 1:8700 COMMERCE PARK DR STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7423
Mailing Address - Country:US
Mailing Address - Phone:832-767-1729
Mailing Address - Fax:832-767-2845
Practice Address - Street 1:8700 COMMERCE PARK DR STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7423
Practice Address - Country:US
Practice Address - Phone:832-767-1729
Practice Address - Fax:832-767-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677907251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677907Medicare Oscar/Certification