Active NPI
Majesty Home Health, Inc.
- Home Health Agency
- Northridge, CA
National Provider Identifier
1962462077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980001388
- Legal business name
- MAJESTY HOME HEALTH, INC.
- Practice address
- 18527 Roscoe Blvd
Northridge, CA 91324-4632 - Phone
- (818) 775-9447
- NPI assigned
- Mar 23, 2006
- 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
- Aurelia Banez Azana, REGISTERED NURSE
- Title
- President
- Phone
- (818) 775-9447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980001388 | CA | Primary |
Addresses
Primary practice location
18527 Roscoe Blvd
Northridge, CA 91324-4632
Mailing address
18527 Roscoe Blvd
Northridge, CA 91324-4632
Phone (818) 775-9447
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962462077 | Other | CA | NPPES |
| HHA08283F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20020807000006 | CA | Part A Provider - Home Health Agency | 4486561453 | Practice locations: Northridge, CA |
Home health agency certification: CCN 058283
- Legal name
- MAJESTY HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 17, 2004
- Last certification
- Aug 23, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 14, 2001 in CA
- Enrollment address
- 18527 Roscoe Blvd
Northridge, CA 91324-4632
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Majesty Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 17, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
18251 Roscoe Blvd
Ste 201B
Northridge, CA 91325
Phone (818) 775-9447
18527 Roscoe Blvd
Northridge, CA 91324
Phone (818) 775-9447
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Aureiia B Azana | 5% Or Greater Direct Ownership Interest | Nov 14, 2001 | 100% |
| Corporate Director | Aug 22, 2002 | ||
| W-2 Managing Employee | Nov 14, 2001 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Valencia, CA
- NPI 1528236965
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342051200000",
"number": "1962462077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18527 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244632",
"telephone_number": "818-775-9447",
"fax_number": "818-774-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18527 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244632",
"telephone_number": "818-775-9447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJESTY HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2012-07-12",
"status": "A",
"authorized_official_last_name": "AZANA",
"authorized_official_first_name": "AURELIA",
"authorized_official_middle_name": "BANEZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-775-9447",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980001388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1962462077",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HHA08283F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.