Provider Demographics
NPI:1891180097
Name:ALPHA MAJESTIC CARE GROUP LLC
Entity Type:Organization
Organization Name:ALPHA MAJESTIC CARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/QUALITY CONTROL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:LIMBI
Authorized Official - Last Name:GUMNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-333-7860
Mailing Address - Street 1:622 S HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2522
Mailing Address - Country:US
Mailing Address - Phone:717-826-6970
Mailing Address - Fax:
Practice Address - Street 1:622 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2522
Practice Address - Country:US
Practice Address - Phone:717-826-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0504301251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health