Maggie Johnson Nursing Center

LBN: Johnson Custodial Home, Inc.
Maggie Johnson Nursing Center is an health care organization with primary practice located at 3406 E 17Th St , Austin TX 78721-1106. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Johnson Custodial Home, Inc. can be contacted via phone (512) 926-4760, or through Killian, Cheryl L via phone (817) 654-3042.

Contact Information

Primary practice address
3406 E 17Th St Austin TX 78721-1106
Phone: (512) 926-4760
Fax: (512) 928-9565
Website:
Map and Directions
Authorized official contact:
Name: Killian, Cheryl L
Phone: (817) 654-3042

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 111923 Texas

Profile Details

NPI number 1407853823
LBN Legal business name Johnson Custodial Home, Inc.
DBA Doing business as Maggie Johnson Nursing Center
Authorized official Killian, Cheryl L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1407853823 NPPES
Texas MEDICAID 4694

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