NPIMap

Organization Active NPI

Mga Healthcare Texas, LLC

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1063188977
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MGA HEALTHCARE TEXAS, LLC
Doing business as
MGA Homecare
Practice address
7550 W Ih 10 Ste 780
San Antonio, TX 78229-5803
Phone
(210) 200-8928
Fax
(210) 579-2124
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexandra Lee Koloskus
Title
Chief Compliance Officer
Phone
(602) 751-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7550 W Ih 10 Ste 780
San Antonio, TX 78229-5803

Mailing address

7025 N Scottsdale Rd Ste 200
Scottsdale, AZ 85253-3675
Phone (602) 385-8733

Other names 1

  • MGA Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mga Healthcare Texas LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1063188977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533675",
            "telephone_number": "602-385-8733",
            "fax_number": "602-385-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W IH 10 STE 780",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295803",
            "telephone_number": "210-200-8928",
            "fax_number": "210-579-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA HEALTHCARE TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KOLOSKUS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "602-751-1278"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGA Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.