MALLKU LLC NPI 1407149545

NPI Information

  • NPI: 1407149545
  • Provider Name: MALLKU, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 28 MONDAVI
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 387-2599

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NPI Details

MALLKU, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in San Antonio, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MALLKU, LLC NPI is 1407149545. The provider is registered as an organization entity type.

The provider's business location address is:

28 MONDAVI
SAN ANTONIO, TX
ZIP 78258-670
Phone: (210) 387-2599

The provider's authorized official is Enrique Lira .
The authorized official title is Owner and has the following contact phone number (210) 387-2599.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 5/23/2011.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASNo
2320700000XResidential Treatment Facility, Physical DisabilitiesTEXASNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessTEXASNo
4323P00000XPsychiatric Residential Treatment FacilityTEXASNo
5324500000XSubstance Abuse Rehabilitation FacilityTEXASNo
63245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenTEXASNo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTEXASYes

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: 3/30/2025

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