Provider Demographics
NPI:1013490929
Name:MAJESTY HOMECARE LLC
Entity Type:Organization
Organization Name:MAJESTY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-338-7071
Mailing Address - Street 1:2354 PARIS AVE
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6936
Mailing Address - Country:US
Mailing Address - Phone:267-338-7071
Mailing Address - Fax:
Practice Address - Street 1:2354 PARIS AVE
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6936
Practice Address - Country:US
Practice Address - Phone:267-338-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA37953601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health