Majestic Wellcare Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MAJESTIC WELLCARE INC.

Practice address

500 S Kraemer Blvd
Suite 165
Brea, CA 92821-6728

Phone

(714) 996-3500

Fax

(714) 996-3552

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Jewn M Ebuenga

Title

President

Phone

(626) 712-1396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1063838175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD",
            "address_2": "SUITE 165",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216728",
            "telephone_number": "714-996-3500",
            "fax_number": "714-996-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD",
            "address_2": "SUITE 165",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216728",
            "telephone_number": "714-996-3500",
            "fax_number": "714-996-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC WELLCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "EBUENGA",
        "authorized_official_first_name": "JEWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-712-1396"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameron Valere Macrorie, MS, MFT
• Simona Magda
• Mandy Ann Magoto, DPT
• Alan Dinh Mai
• Ma Lizza Laroza Mailom, NURSE PRACTITIONER
• Charles D. Malinick, M.D.
• Veronica Nohemy Mancera
• Neerav Mangipudi
• Natalie Mannion
• Celinda Manzo

• Community Based Hospice Care Agency in Brea, CA
• Providers in Brea, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.