Majestic Care Marina Mile LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9568 Issued in FL

Legal business name

MAJESTIC CARE MARINA MILE LLC

Practice address

1320 SW 26TH St
Fort Lauderdale, FL 33315-2346

Phone

(954) 266-4015

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Israela Herskovitz

Title

Accounting Administrator

Phone

(954) 266-4015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Safe Harbor Assisted Living Resort Doing business as

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1407220163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W CAMINO REAL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335511",
            "telephone_number": "954-266-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SW 26TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152346",
            "telephone_number": "954-266-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC CARE MARINA MILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HERSKOVITZ",
        "authorized_official_first_name": "ISRAELA",
        "authorized_official_title_or_position": "ACCOUNTING ADMINISTRATOR",
        "authorized_official_telephone_number": "954-266-4015"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "9568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor Assisted Living Resort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Archana Maini, M.D.
• Tanesha Rashaun Maiten, M.S.W.
• Javier Enrique Maiz
• Fred Majava
• Mehathab Panachimootil Majeed
• Majestic on the River LLC
• Hanna Major Wilson, ARNP
• Davis Major
• Onalee Makam
• Andres Makarem, MD

• Assisted Living Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Nov 18, 2015; 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.