Organization Active NPI

Majestic Wellcare Inc.

  • Home Health Agency
  • Redlands, CA
National Provider Identifier
1528485273
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAJESTIC WELLCARE INC.
Practice address
1447 Ford St
Suite 202
Redlands, CA 92374-6330
Phone
(626) 712-1396
NPI assigned
Mar 19, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Gladys Picardal
Title
Secreatary/Dir Qa
Phone
(626) 712-1396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1447 Ford St
Suite 202
Redlands, CA 92374-6330

Mailing address

1447 Ford St
Suite 202
Redlands, CA 92374-6330
Phone (626) 712-1396

National Provider Directory

National Provider Directory

Locations

4295 Jurupa St
Ste 213
Ontario, CA 91761
Phone (909) 605-2083

1447 Ford St
Ste 104
Redlands, CA 92374
Phone (909) 435-0414

1447 Ford St
Ste 202
Redlands, CA 92374
Phone (626) 712-1396

Practitioners & affiliated clinicians

Practitioners 1

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1528485273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 FORD ST",
            "address_2": "SUITE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746330",
            "telephone_number": "626-712-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 FORD ST",
            "address_2": "SUITE 202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746330",
            "telephone_number": "626-712-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC WELLCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "PICARDAL",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "SECREATARY/DIR QA",
        "authorized_official_telephone_number": "626-712-1396"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.