Organization Active NPI

Majesty Home Health, Inc.

  • Home Health Agency
  • Northridge, CA
National Provider Identifier
1962462077
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001388 Issued in CA
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

Updated by the provider on Jul 12, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962462077OtherCANPPES
HHA08283FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Nov 14, 2001 in CA
Enrollment address
18527 Roscoe Blvd
Northridge, CA 91324-4632
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Majesty Home HealthCCN 058283
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 17, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Aureiia B Azana Individual 5% Or Greater Direct Ownership InterestPresidnet/Administrator 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.

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

Verify at the official NPI Registry.