Majestic Oaks Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

076-R-1828 Issued in GA

Legal business name

MAJESTIC OAKS HOME CARE AGENCY LLC

Doing business as

Majestic Oaks Home Care Agency LLC

Practice address

1000 Corporate Pointe Ste 307
Warner Robins, GA 31088-3437

Phone

(478) 256-8513

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jarrett R Howard

Title

Owner/Administrator

Phone

(478) 256-8513

Specialties & licenses 3

Addresses

Other names 1

• Majestic Oaks Home Care Agency LLC Doing business as

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164944799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 307",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883437",
            "telephone_number": "478-256-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE POINTE STE 307",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883437",
            "telephone_number": "478-256-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC OAKS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "478-256-8513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "076-R-1828",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "076-R-1828",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "076-R-1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Oaks Home Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Majestic Oaks Home Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.