Active NPI
Majestic Home Care LLC
- In Home Supportive Care Agency
- Southfield, MI
National Provider Identifier
1932635901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8198978 | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Majestic Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Southfield, MI
- NPI 1437909553
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.