Majestic Care Of Jefferson Pointe
LBN: Pulaski Memorial Hospital
Majestic Care Of Jefferson Pointe is an health care organization with primary practice located at 5700 Wilkie Drive , Fort Wayne IN 46804-1662. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Pulaski Memorial Hospital can be contacted via phone (260) 432-7556, or through Malott, Gregg A via phone (574) 946-2100.
Contact Information
Primary practice address
5700 Wilkie Drive
Fort Wayne IN 46804-1662
Phone: (260) 432-7556
Fax: (260) 436-0386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 07-000476-1 | Indiana |
Profile Details
| NPI number | 1740315878 |
|---|---|
| LBN Legal business name | Pulaski Memorial Hospital |
| DBA Doing business as | Majestic Care Of Jefferson Pointe |
| Authorized official | Malott, Gregg A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | May 21st, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740315878 | NPPES |
| Indiana | MEDICAID | 100290870 |
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