Provider Demographics
NPI:1699167353
Name:MAJESTIC REHABILITATION AND NURSING CENTER INC.
Entity type:Organization
Organization Name:MAJESTIC REHABILITATION AND NURSING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-987-7180
Mailing Address - Street 1:4000 HOLLYWOOD BLVD STE 540N
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6772
Mailing Address - Country:US
Mailing Address - Phone:954-987-7180
Mailing Address - Fax:
Practice Address - Street 1:620 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3130
Practice Address - Country:US
Practice Address - Phone:201-435-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060903314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility