Organization Active NPI

Majesty Adult Daycare Services LLC

  • Adult Day Care Clinic/Center
  • Tyler, TX
National Provider Identifier
1306307053
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MAJESTY ADULT DAYCARE SERVICES LLC
Practice address
900 W Bow St
Tyler, TX 75702-5133
Phone
(903) 617-6120
Fax
(903) 617-6115
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Mr. Ed Thompson
Title
Ceo
Phone
(903) 627-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

900 W Bow St
Tyler, TX 75702-5133

Mailing address

PO Box 2028
Tyler, TX 75710-2028
Phone (903) 617-6120

National Provider Directory

National Provider Directory

Locations

900 W Bow St
Tyler, TX 75702
Phone (903) 617-6120

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1306307053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2028",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757102028",
            "telephone_number": "903-617-6120",
            "fax_number": "903-617-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BOW ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757025133",
            "telephone_number": "903-617-6120",
            "fax_number": "903-617-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTY ADULT DAYCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-627-6129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.