Organization Active NPI

Magnified Health & Rehab of Anderson, LLC

  • Skilled Nursing Facility
  • College Station, TX
National Provider Identifier
1215109566
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAGNIFIED HEALTH & REHAB OF ANDERSON, LLC
Practice address
1115 Anderson St
College Station, TX 77840-4465
Phone
(979) 693-1515
Fax
(979) 696-0462
NPI assigned
Mar 27, 2008
Organization subpart
Yes
Parent organization
DESCENDING DOVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Christopher J Murphy
Title
President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1115 Anderson St
College Station, TX 77840-4465

Mailing address

1115 Anderson St
College Station, TX 77840-4465
Phone (979) 693-1515

Other identifiers 1

IdentifierTypeStateIssuer
001016039MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1215109566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ANDERSON ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404465",
            "telephone_number": "979-693-1515",
            "fax_number": "979-696-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ANDERSON ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404465",
            "telephone_number": "979-693-1515",
            "fax_number": "979-696-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFIED HEALTH & REHAB OF ANDERSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESCENDING DOVE, LLC",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.