Maesavealife LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MAESAVEALIFE LLC

Practice address

23006 Post Oak Park
San Antonio, TX 78264-4600

Phone

(210) 762-7257

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Phyllis Young, RNNPI 1073191896

Title

Owner

Phone

(469) 556-6473

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis Onella Young

  • Registered Nurse
  • Gallup, NM
  • NPI 1073191896
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1396595088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23006 POST OAK PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782644600",
            "telephone_number": "210-762-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23006 POST OAK PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782644600",
            "telephone_number": "210-762-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAESAVEALIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-556-6473",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Madriz
• Tayo L Maduagwu, APRN
• Chinonye Q Madunezim
• Vineet Reddy Madur
• Juliana Constance Dianne Maedke, RD, LD
• Adrian Maese, CRNA
• Lizbeth Maese, PHARM.D.
• Melissa Marie Maese
• Margaret Antonia Maestas, MSW
• Mary Ryan Maffei, NP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.