Majestic Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAJESTIC ALF LLC

Practice address

1200 Arthur St
Hollywood, FL 33019-3118

Phone

(954) 622-8690

Fax

(754) 348-3023

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jed Walter

Title

President

Phone

(954) 593-3599

Specialties & licenses 1

Addresses

Other names 1

• MAJESTIC MEMORY CARE BY RSR Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1386377240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ARTHUR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330193118",
            "telephone_number": "954-622-8690",
            "fax_number": "754-348-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ARTHUR ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330193118",
            "telephone_number": "954-622-8690",
            "fax_number": "754-348-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-593-3599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJESTIC MEMORY CARE BY RSR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.