Provider Demographics
NPI:1063233716
Name:MAJESTIC HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:MAJESTIC HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLINE
Authorized Official - Middle Name:TANIS
Authorized Official - Last Name:DESRAVINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-234-1121
Mailing Address - Street 1:5237 COCONUT CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-3964
Mailing Address - Country:US
Mailing Address - Phone:954-234-1121
Mailing Address - Fax:
Practice Address - Street 1:5237 COCONUT CREEK PKWY
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-3964
Practice Address - Country:US
Practice Address - Phone:954-234-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty