Provider Type Icon

MAJESTY WELLNESS & HOUSECALLSLLC NPI 1598371700


NPI Information

NPI: 1598371700
Provider Name: MAJESTY WELLNESS & HOUSECALLS,LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2208151

Address:
1202 SW 82ND AVE
NORTH LAUDERDALE, FL
ZIP 33068
Phone: (954) 867-8861
Get Directions

MAJESTY WELLNESS & HOUSECALLS,LLC is a primary care clinic center in North Lauderdale, FL. MAJESTY WELLNESS & HOUSECALLS,LLC NPI is 1598371700. The provider is registered as an organization entity type.

The provider's business location address is:

1202 SW 82ND AVE
NORTH LAUDERDALE, FL
ZIP 33068
Phone: (954) 867-8861

The provider's authorized official is Shevan Wilks .
The authorized official title is Aprn and has the following contact phone number (954) 867-8861.

The CLIA number assigned to this NPI record is 10D2208151 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2020 and was last updated on 9/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.