M'AGINE SUPPORT SERVICES LLC NPI 1760521371

NPI Information

NPI: 1760521371
Provider Name: M'AGINE SUPPORT SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
6102 AYERS ST STE 112
CORPUS CHRISTI, TX
ZIP 78415
Phone: (361) 851-0311
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M'AGINE SUPPORT SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Corpus Christi, 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. M'AGINE SUPPORT SERVICES, LLC NPI is 1760521371. The provider is registered as an organization entity type.

The provider's business location address is:

6102 AYERS ST STE 112
CORPUS CHRISTI, TX
ZIP 78415-697
Phone: (361) 851-0311
Fax: (361) 851-0990

The provider's authorized official is Rodolfo Moreno .
The authorized official title is Administrator and has the following contact phone number (361) 851-0311.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/25/2023.

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
1	251B00000X	Case Management		001007966	TEXAS	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001007966	OTHER	TEXAS	HCS VENDOR NO.

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: 4/28/2024

NPI Synchronization or Removal

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