M'AGINE SUPPORT SERVICES, LLC (NPI# 1760521371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760521371 |
| Entity Type | Organization |
| Organization Name | M'AGINE SUPPORT SERVICES, LLC |
| Practice Address |
6102 Ayers St Ste 112 Corpus Christi TX 78415-5697 |
| Practice Telephone | 3618510311 |
| Practice Fax Number | 3618510990 |
| Mailing Telephone | 3618510311 |
| Mailing Fax Number | 3618510991 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | MR. RODOLFO MORENO JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 3618510311 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 001007966 | TX | Agencies |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | HCS VENDOR NO. | 001007966 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4626 Weber Rd, Suite 21, Corpus Christi, TX 784113543 | 3618510311 | 3618510990 |
| Street Address |
6102 AYERS ST STE 112 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-5697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831442284 | A.m.e.n. Hcs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1101 Logan Ave, Corpus Christi, TX 78404-3725 | 2012-10-23 |
| 1144530809 | S&l Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7465 Lake Micala Dr, Corpus Christi, TX 78413-5823 | 2010-10-15 |
| 1326075763 | Coastal Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10905 Timbergrove, Corpus Christi, TX 78410 | 2006-06-28 |
| 1669842159 | Amistad Childrens Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9241 S Padre Island Dr, Corpus Christi, TX 78418-5503 | 2015-09-28 |
| 1003246455 | Anchor Habilitation Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9241 S Padre Island Dr, Corpus Christi, TX 78418-5503 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980686 | Mimshack Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12330 Springcrest Dr, Houston, TX 77072-3219 | 2020-10-21 |
| 1679172936 | Re-care Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 University Blvd Ste 225-374, Round Rock, TX 78665-1001 | 2020-10-19 |
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1750989067 | Able Wisdom Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2203 Huntington Dr, Wylie, TX 75098-7164 | 2020-10-09 |
| 1518573609 | Jbk House of Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2624 Grand Gulf Rd, Fort Worth, TX 76123-2613 | 2020-09-23 |
| 1700492352 | St Monica Healthcare Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11311 Scottsdale Dr, Meadows Place, TX 77477-1811 | 2020-09-18 |
| 1265047534 | Compassion Structured Living Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13578 San Martin Ln, Houston, TX 77083-5135 | 2020-09-13 |
| 1497369474 | Nexphase Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1201 N Watson Rd Ste 205, Arlington, TX 76006-6120 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.