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:
Map and Directions
Authorized official contact:
Name: Malott, Gregg A
Phone: (574) 946-2100

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740315878 NPPES
Indiana MEDICAID 100290870

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