Majestic Care of Wapakoneta LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAJESTIC CARE OF WAPAKONETA LLC

Practice address

505 Walnut St
Wapakoneta, OH 45895-1868

Phone

(419) 738-0725

NPI assigned

Mar 16, 2020

Organization subpart

No

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

Authorized official

Name

Bernard McGuinness

Title

Officer

Phone

(718) 380-8882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1093341695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E MAIN ST STE 210",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460745301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WALNUT ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951868",
            "telephone_number": "419-738-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC CARE OF WAPAKONETA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "MCGUINNESS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-380-8882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lotz, LPN
• Barbara Lee Lovett, CARE COORDINATION
• Anna Luttmer, RN,BSN
• Melissa Ann Lutz, OPTICIAN
• Ashley N Lykins, MSW, LSW
• Daniel G Makuh, DDS
• Kristiina Mangen, RN
• Kaitlin A Martin, CNP
• Mathew M. Jose, M.D., Inc
• Clint Mathewson

• Assisted Living Facility in Wapakoneta, OH
• Providers in Wapakoneta, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.