MAJESTIC SENIOR CARE INC. (NPI# 1740825330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740825330 |
| Entity Type | Organization |
| Organization Name | MAJESTIC SENIOR CARE INC. |
| Practice Address |
852 Coventry Ln Fairfield CA 94533-3609 |
| Practice Telephone | 7074007886 |
| Mailing Telephone | 7074007886 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MS. MELINDA J WARD (ADMINISTRATOR) |
| Authorized Official Telephone | 7074007886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HOME CARE AGENCY | 484700022 | 01 |
| Street Address |
852 COVENTRY LN |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656283 | Central Health Homecare, LLC | In Home Supportive Care | 127 Tunxis Hill Rd Ste 2, Fairfield, CT 06825-4838 | 2020-07-07 |
| 1134684004 | Care and Respite Enterprises, Inc. | In Home Supportive Care | 141 Kings Hwy E, Fairfield, CT 06825-4844 | 2019-02-05 |
| 1306356209 | Seva Ct, Inc. | In Home Supportive Care | 1700 Post Rd Ste E5, Fairfield, CT 06824-5795 | 2017-10-05 |
| 1376071217 | United Supportive Services | In Home Supportive Care | 1652 W Texas St Ste 160, Fairfield, CA 94533-6080 | 2017-05-23 |
| 1932640729 | Turtledove, LLC | In Home Supportive Care | 130 Rhoda Ave, Fairfield, CT 06824-6839 | 2017-03-14 |
| 1356888192 | Caring Hands | In Home Supportive Care | 258 Ridge Rd, Fairfield, ME 04937-3327 | 2017-01-31 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1184001711 | Heart of Service LLC | In Home Supportive Care | 5951 Fairdale Dr, Fairfield, OH 45014-2320 | 2015-05-04 |
| 1114361524 | Agape Love Home Care | In Home Supportive Care | 1652 W Texas St Ste 254, Fairfield, CA 94533-5952 | 2013-04-29 |
| 1780957449 | Better Days Initiative | In Home Supportive Care | 28 Wythe Ct, Apt 103, Fairfield, OH 45014-4351 | 2012-02-10 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.