J-Mag Enterprises, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

18000 Issued in TX

Legal business name

J-MAG ENTERPRISES, LLC

Practice address

608 S McKinney St
Mexia, TX 76667-3644

Phone

(254) 562-9554

Fax

(254) 562-7097

NPI assigned

Apr 14, 2006

Last updated

Jul 21, 2022By 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

Mrs. Mary Ann Goodall

Title

Owner Administrator

Phone

(254) 562-9554

Specialties & licenses 1

Addresses

Tax ID family

J-Mag Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• J-Mag Enterprises, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mexia, TX
  • NPI 1033271200
  NPD tax ID

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255395299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S MCKINNEY ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673644",
            "telephone_number": "254-562-9554",
            "fax_number": "254-562-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S MCKINNEY ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673644",
            "telephone_number": "254-562-9554",
            "fax_number": "254-562-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-MAG ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOODALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "254-562-9554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "18000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Henderson, OTR
• Amy Allen Hoffman, PHARMD
• Home Safe Nemt LLC
• Impact PT
• J-Mag Enterprises, LLC
• Laci D James, MS,LPC,LCDC,LSW,
• Jeffrey Lance Jarvis, MD
• Kevin Scott Jensen, D.O.
• Lewis La'Paul Johnson-Fulsom
• Stacy Johnson, APRN-CNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mexia, TX
• Providers in Mexia, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.