Provider Demographics
NPI:1194082438
Name:HIS MAJESTY INC
Entity type:Organization
Organization Name:HIS MAJESTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAIYE
Authorized Official - Middle Name:TOKUNBO
Authorized Official - Last Name:ONI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, FNP
Authorized Official - Phone:202-361-8842
Mailing Address - Street 1:402 JORDON POND LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-7250
Mailing Address - Country:US
Mailing Address - Phone:240-696-1713
Mailing Address - Fax:188-852-3207
Practice Address - Street 1:402 JORDON POND LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-7250
Practice Address - Country:US
Practice Address - Phone:240-696-1713
Practice Address - Fax:188-852-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1111001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care