Maharlika Resources, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

102640 Issued in TX

Legal business name

MAHARLIKA RESOURCES, INC.

Practice address

2201 Junction Hwy
Kerrville, TX 78028-9392

Phone

(830) 792-4001

Fax

(866) 838-4666

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dionicio R Rivera

Title

Ceo

Phone

(915) 329-1039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA: Mountain Villa at Kerrville Doing business as

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1457551749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11913 PASEO DORADO CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363785",
            "telephone_number": "915-329-1039",
            "fax_number": "866-838-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289392",
            "telephone_number": "830-792-4001",
            "fax_number": "866-838-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHARLIKA RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DIONICIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-329-1039"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "102640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "102640",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Mountain Villa at Kerrville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie H Lunsford, NP
• James David Lussier, DDS
• Cerliza U Luzano, RN
• Brian Lyman, DC
• Andrew J Madden, CRNA
• Robert Daly Malain, M.A.
• Mark Stephen Malone, PT MT
• Mama to the Core LLC
• Rachel Maner
• Charles Thomas Marino

• Assisted Living Facility in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.