Malone House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MALONE HOUSE

Practice address

113 N Malone St
San Angelo, TX 76903-5538

Phone

(325) 617-7467

Fax

(325) 617-7467

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Donna Johnson, MINISTER

Title

Administrator

Phone

(325) 617-7467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1558600379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N MALONE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035538",
            "telephone_number": "325-617-7467",
            "fax_number": "325-617-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N MALONE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035538",
            "telephone_number": "325-617-7467",
            "fax_number": "325-617-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-617-7467",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MINISTER"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley A Magro, RPH
• Patrick Leroy Mahan, D. C.
• Patrick Clarence Makins, DDS MSD
• Peggy Lee Makowski, C.O.T.A.
• Colleen Mallory
• Carl Hubert Malone Jr.
• Stacey L Manion, DO
• Robert Charles Mankin, D.D.S.
• Destiny Renee Manley
• Patricia T Manning, CRNA

• Substance Abuse Rehabilitation Facility in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.