Organization Active NPI

Majestic Hospice & Home Health LLC

  • Community Based Hospice Care Agency
  • Morgan Hill, CA
National Provider Identifier
1144612656
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MAJESTIC HOSPICE & HOME HEALTH LLC
Practice address
16360 Monterey St
Ste 140-150
Morgan Hill, CA 95037-5453
Phone
(408) 779-0100
Fax
(408) 779-0300
NPI assigned
Feb 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Mr. Ali N WarriachNPI 1417577958
Title
Ceo
Phone
(408) 779-0100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

16360 Monterey St
Ste 140-150
Morgan Hill, CA 95037-5453

Mailing address

16360 Monterey St
Ste 140-150
Morgan Hill, CA 95037-5453
Phone (408) 779-0100

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Majestic Home HealthCCN 059704
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 3, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Majestic Hospice & Home Health LLCCCN 921685
Ownership
For-Profit
Certified
Sep 23, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150325000313 CA Part A Provider - Hospice 9234456575 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morgan Hill, CA
O20150625000820 CA Part A Provider - Home Health Agency 9234456575 Practice locations: Morgan Hill, CA

Hospice certification: CCN 921685

Legal name
MAJESTIC HOSPICE & HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 23, 2017
Last certification
Sep 23, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 18, 2015 in CA
Enrollment address
16360 Monterey St
Ste 140
Morgan Hill, CA 95037-5454

Home health agency certification: CCN 059704

Legal name
MAJESTIC HOSPICE & HOME HEALTH LLC
Doing business as
MAJESTIC HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 3, 2016
Last certification
Feb 1, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 18, 2015 in CA
Enrollment address
16360 Monterey St
Ste 150
Morgan Hill, CA 95037-5454

All disclosed owners & managing parties 4

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beenish Warriach Individual 5% Or Greater Direct Ownership InterestManager Feb 20, 2015 50%
W-2 Managing EmployeeManager Apr 1, 2015 50%
W-2 Managing EmployeeManager Mar 1, 2015 50%
Ali Nasir Warriach Individual 5% Or Greater Direct Ownership InterestManager Feb 20, 2015 50%
W-2 Managing EmployeeAd; Mar 11, 2015
Norman P Woods Individual Contracted Managing EmployeeMD; May 15, 2017
Ali N Warriach Individual 5% Or Greater Direct Ownership Interest Mar 11, 2015 50%

National Provider Directory

National Provider Directory

Locations

16360 Monterey St
Ste 140150
Morgan Hill, CA 95037
Phone (408) 779-0100

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1144612656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST",
            "address_2": "STE 140-150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375453",
            "telephone_number": "408-779-0100",
            "fax_number": "408-779-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST",
            "address_2": "STE 140-150",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375453",
            "telephone_number": "408-779-0100",
            "fax_number": "408-779-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC HOSPICE & HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "WARRIACH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-779-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.