Malonegrove Family Care & Rehabilitation LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MALONEGROVE FAMILY CARE & REHABILITATION LLC

Practice address

3305 North St
Nacogdoches, TX 75965-2690

Phone

(832) 661-7501

NPI assigned

Dec 15, 2022

Organization subpart

No

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

Authorized official

Name

April Henry

Title

Cheif Operations Officer

Phone

(832) 661-7501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1093427577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 CENTRE PLACE CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652690",
            "telephone_number": "832-661-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONEGROVE FAMILY CARE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CHEIF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "832-661-7501"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Tricia Madkins, LMSW
• Main Street Anesthesia of Texas, PA
• Mallory Elyse Maisel, FNP-C
• Stephanie S Malleo
• Larry D Malone, FNP
• H. Lance Mandell, M.D.
• Marian Kathleen Querry DO PC
• Mark E Sowell DPM Inc (Sowell Podiatry)
• Mark Lanier OD PC (Nacogdoches Eye Associates)
• Mark S. Greer (Deer Creek Recovery Center)

• Substance Abuse Rehabilitation Facility in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.