Provider Demographics
NPI: | 1720787963 |
---|---|
Name: | MAJESTIC EQUINE CONNECTIONS, INC. |
Entity type: | Organization |
Organization Name: | MAJESTIC EQUINE CONNECTIONS, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | LEANNE |
Authorized Official - Last Name: | STANKIEWICZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BS, BA, MA/TL |
Authorized Official - Phone: | 440-668-8364 |
Mailing Address - Street 1: | 7460 WOOSTER PIKE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | SEVILLE |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 44273-9717 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 440-668-8364 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7460 WOOSTER PIKE RD |
Practice Address - Street 2: | |
Practice Address - City: | SEVILLE |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44273-9717 |
Practice Address - Country: | US |
Practice Address - Phone: | 440-668-8364 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-02-27 |
Last Update Date: | 2023-02-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 251J00000X | Agencies | Nursing Care | ||
No | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 251V00000X | Agencies | Voluntary or Charitable | ||
No | 347C00000X | Transportation Services | Private Vehicle | Group - Multi-Specialty | |
No | 373H00000X | Nursing Service Related Providers | Day Training/Habilitation Specialist | Group - Multi-Specialty | |
No | 385H00000X | Respite Care Facility | Respite Care | ||
No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp | |
No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |