Organization Active NPI

Majestic Home Care, LLC

  • Home Health Agency
  • West Helena, AR
National Provider Identifier
1114483237
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAJESTIC HOME CARE, LLC
Practice address
340 N Sebastian
West Helena, AR 72390-2418
Phone
(870) 753-4105
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Mr. Elijah Brown
Title
Owner
Phone
(901) 691-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

340 N Sebastian
West Helena, AR 72390-2418

Mailing address

340 N Sebastian
West Helena, AR 72390-2418
Phone (870) 753-4105

Other identifiers 1

IdentifierTypeStateIssuer
206219732MedicaidAR

National Provider Directory

National Provider Directory

Locations

340 N Sebastian
West Helena, AR 72390
Phone (870) 753-4105

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1114483237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SEBASTIAN",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902418",
            "telephone_number": "870-753-4105",
            "fax_number": "870-572-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SEBASTIAN",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723902418",
            "telephone_number": "870-753-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-691-6373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206219732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.