Organization Active NPI

Majesty Hospice, Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1093792996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MAJESTY HOSPICE, INC.
Practice address
4221 Wilshire Blvd
Ste 480
Los Angeles, CA 90010-3512
Phone
(323) 634-9907
Fax
(323) 634-9906
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Mary Alyn Abad Domondon, RN
Title
Pres / Ceo
Phone
(323) 819-1472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

4221 Wilshire Blvd
Ste 480
Los Angeles, CA 90010-3512

Mailing address

4221 Wilshire Blvd
Ste 480
Los Angeles, CA 90010-3512
Phone (323) 634-9907

Other identifiers 1

IdentifierTypeStateIssuer
HPC01753FMedicaidCA

National Provider Directory

National Provider Directory

Locations

628 N Vermont Ave
Ste 4
Los Angeles, CA 90004
Phone (323) 669-3640

4221 Wilshire Blvd
Ste 480
Los Angeles, CA 90010
Phone (323) 634-9907

733 W Carson St
#A
Torrance, CA 90502
Phone (323) 669-3640

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093792996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD",
            "address_2": "STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103512",
            "telephone_number": "323-634-9907",
            "fax_number": "323-634-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD",
            "address_2": "STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103512",
            "telephone_number": "323-634-9907",
            "fax_number": "323-634-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMONDON",
        "authorized_official_first_name": "MARY ALYN",
        "authorized_official_middle_name": "ABAD",
        "authorized_official_title_or_position": "PRES / CEO",
        "authorized_official_telephone_number": "323-819-1472",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01753F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.