Organization Active NPI

Majestic Home Care, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1669287322
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAJESTIC HOME CARE, LLC
Practice address
873 Canaan Ave
Saint Louis, MO 63147-2026
Phone
(314) 461-4352
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Latosha Renee Williams
Title
Exective Director
Phone
(314) 461-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

873 Canaan Ave
Saint Louis, MO 63147-2026

Mailing address

873 Canaan Ave
Saint Louis, MO 63147-2026
Phone (314) 461-4352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1669287322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 CANAAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631472026",
            "telephone_number": "314-461-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 CANAAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631472026",
            "telephone_number": "314-461-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-461-4352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.