Majestic Villa Al

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAJESTIC VILLA AL

Practice address

8236 N 57TH Dr
Glendale, AZ 85302-5906

Phone

(661) 600-3435

NPI assigned

Jan 24, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Bacco

Title

Owner

Phone

(661) 600-3435

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1013729151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 S 175TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385503",
            "telephone_number": "661-600-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8236 N 57TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025906",
            "telephone_number": "661-600-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC VILLA AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "BACCO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-600-3435"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Shelby Mains, FNP
• Landis Randall Mains, PT, DPT
• Ann Marie Maisch, SLP
• Charles Maitland, PTA
• Felicia Maize
• Majestic Villa Assisted Living
• Desiree Celeste Major, DPM
• Hayam Hadi Majow
• Tafadzwa P Makarawo, MD
• Samer Makhoul, M.D.

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.