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MAE SERVICES LLC NPI 1316350507


NPI Information

NPI: 1316350507
Provider Name: MAE SERVICES LLC

Doing Business As: MAE NO. 23

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
5423 23RD ST
LUBBOCK, TX
ZIP 79407
Phone: (806) 543-0488
Get Directions

MAE SERVICES LLC is an intermediate care facility mentally retarded in Lubbock, TX. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MAE SERVICES LLC NPI is 1316350507. The provider is registered as an organization entity type.
The provider Is Doing Business As Mae No. 23.

The provider's business location address is:

5423 23RD ST
LUBBOCK, TX
ZIP 79407-124
Phone: (806) 543-0488
Fax: (866) 419-7167

The provider's authorized official is Eugene S Bonds .
The authorized official title is Manager and has the following contact phone number (806) 543-0488.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 6/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded007330TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007330MEDICAIDTEXAS

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: 11/14/2023

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