Active NPI
Magnified Health & Rehab of Anderson, LLC
- Skilled Nursing Facility
- College Station, TX
National Provider Identifier
1215109566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001016039 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.