Active NPI
Majestic Home Care, LLC
- Home Health Agency
- West Helena, AR
National Provider Identifier
1114483237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206219732 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.