Macmullen 22 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MACMULLEN 22 LLC

Doing business as

Qualicare New Braunfels

Practice address

763 Steeplebush
New Braunfels, TX 78130-0165

Phone

(830) 946-5555

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather McDonald, PTANPI 1750862652

Title

Part Owner

Phone

(830) 946-5555

Specialties & licenses 1

Addresses

Other names 1

• Qualicare New Braunfels Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather McDonald

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Wimberley, TX
  • NPI 1750862652
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1083492086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 STEEPLEBUSH",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300165",
            "telephone_number": "830-946-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 STEEPLEBUSH",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300165",
            "telephone_number": "830-946-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMULLEN 22 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "830-946-5555",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualicare New Braunfels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mac Medical & Aesthetics Co.
• Maciel 2 LLC (Little Land New Braunfels)
• Amy Mack
• Tanner Lee Mackay, FNP-C
• Atlanta Macklin, RDN, LD
• Amber Nicole Macwilliam, DO
• Madison D. Lowry, M.D., P.a.
• Madrone Center for Counseling, PLLC
• Juliana Magalhaes Panace, DDS
• Magnet Care, LLC (ComForCare Home Care - New Braunfels)

• In Home Supportive Care Agency in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.