Provider Demographics
NPI:1992345060
Name:MAJESTIC HOSPICE AND PALLIATIVE CARE, LLC
Entity type:Organization
Organization Name:MAJESTIC HOSPICE AND PALLIATIVE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATURAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:404-432-8577
Mailing Address - Street 1:1399 MONTREAL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-8118
Mailing Address - Country:US
Mailing Address - Phone:404-432-8577
Mailing Address - Fax:
Practice Address - Street 1:1399 MONTREAL RD STE 202
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-8118
Practice Address - Country:US
Practice Address - Phone:404-432-8577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health