- Enrollment id
- O20080506000015
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1851429724
- Multiple npi flag
- N
- Ccn
- 677907
- Associate id
- 7719066513
- Organization name
- MAJESTIK CARE PROVIDERS INC.
- Incorporation date
- 2006-11-29
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 8700 COMMERCE PARK DRIVE
- Address line 2
- SUITE 110
- City
- HOUSTON
- State
- TX
- Zip code
- 770367423