NPIMap

Organization Active NPI

Majestic Hospice & Home Health LLC

Doing business as Majestic Hospice

  • Community Based Hospice Care Agency
  • Morgan Hill, CA
National Provider Identifier
1255847984
Registry record updated Dec 18, 2017
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
Doing business as
Majestic Hospice
Practice address
16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454
Phone
(408) 779-0100
Fax
(408) 779-0300
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Ali Nasir WarriachNPI 1417577958
Title
President
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454

Mailing address

16360 Monterey St Ste 140
Morgan Hill, CA 95037-5454
Phone (408) 707-5622

Other names 1

  • Majestic Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000313 CA Part A Provider - Hospice 9234456575 1 other NPI on this enrollment
Practice locations: Morgan Hill, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255847984. Details of each certification follow.

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

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

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

All disclosed owners & managing parties 4

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

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

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1255847984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375454",
            "telephone_number": "408-707-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16360 MONTEREY ST STE 140",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375454",
            "telephone_number": "408-779-0100",
            "fax_number": "408-779-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC HOSPICE & HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "WARRIACH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "NASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-779-0100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.