Organization Active NPI

Majestic Pascare LLC

  • Home Health Agency
  • Omaha, NE
National Provider Identifier
1104357029
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
45340940 Issued in NE
Legal business name
MAJESTIC PASCARE LLC
Practice address
13021 Patrick Cir
Omaha, NE 68164-3937
Phone
(402) 359-7731
NPI assigned
Mar 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Kristee Roberta NashNPI 1942758099
Title
Owner
Phone
(402) 359-7731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 45340940 NE Primary

Addresses

Primary practice location

13021 Patrick Cir
Omaha, NE 68164-3937

Mailing address

13021 Patrick Cir
Omaha, NE 68164-3937
Phone (402) 359-7731

Other identifiers 1

IdentifierTypeStateIssuer
45340940OtherNEMEDICAID PAS WORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1104357029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 PATRICK CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643937",
            "telephone_number": "402-359-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 PATRICK CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643937",
            "telephone_number": "402-359-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PASCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KRISTEE",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-359-7731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NE",
            "license": "45340940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PAS WORK",
            "identifier": "45340940",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.