Organization Active NPI

Majasty Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Brandon, MS
National Provider Identifier
1275384083
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
MAJASTY LIVING
Practice address
1368 Old Fannin Rd Ste 250
Brandon, MS 39047-8025
Phone
(769) 572-7207
Fax
(601) 510-4844
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Mrs. Makeba C White Chanay
Title
Ceo
Phone
(769) 572-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

1368 Old Fannin Rd Ste 250
Brandon, MS 39047-8025

Mailing address

1368 Old Fannin Rd Ste 250
Brandon, MS 39047-8025
Phone (769) 572-7207

National Provider Directory

National Provider Directory

Locations

1368 Old Fannin Rd
Ste 250
Brandon, MS 39047
Phone (769) 572-7207

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1275384083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 OLD FANNIN RD STE 250",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478025",
            "telephone_number": "769-572-7207",
            "fax_number": "601-510-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 OLD FANNIN RD STE 250",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478025",
            "telephone_number": "769-572-7207",
            "fax_number": "601-510-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJASTY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "WHITE CHANAY",
        "authorized_official_first_name": "MAKEBA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-572-7207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.