Organization Active NPI

Majestic Home Care LLC

  • In Home Supportive Care Agency
  • Southfield, MI
National Provider Identifier
1932635901
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAJESTIC HOME CARE LLC
Practice address
24450 Evergreen Rd Ste 102
Southfield, MI 48075-5585
Phone
(248) 395-5269
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Ms. Uche Kanu
Title
President/Ceo
Phone
(248) 767-8367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

24450 Evergreen Rd Ste 102
Southfield, MI 48075-5585

Mailing address

24450 Evergreen Rd Ste 102
Southfield, MI 48075-5585
Phone (248) 395-5269

Other identifiers 1

IdentifierTypeStateIssuer
8198978MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Majestic Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24450 Evergreen Rd
Ste 102
Southfield, MI 48075
Phone (248) 325-5840

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1932635901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755585",
            "telephone_number": "248-395-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24450 EVERGREEN RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755585",
            "telephone_number": "248-395-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "KANU",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-767-8367",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8198978",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.