M'Agine Supported Living

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

M'AGINE SUPPORTED LIVING

Practice address

4626 Weber Rd Ste 21
Corpus Christi, TX 78411-3542

Phone

(361) 851-0311

NPI assigned

Apr 7, 2015

Last updated

Apr 7, 2015By 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

Mr. Rodolfo Moreno

Title

Administrator

Phone

(361) 851-0311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1578959409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WEBER RD STE 21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113542",
            "telephone_number": "361-851-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WEBER RD STE 21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113542",
            "telephone_number": "361-851-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M'AGINE SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-851-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lyssy
• Tabitha Lytle, PHARMD
• M Ayman Ghraowi, MD PA (Northwest Cancer Center)
• M Hernandez MD PLLC
• M'Agine Support Services, LLC
• Ali Abdalla Maawy, M.D
• Faith Ebangha Mabo, APRN-CNP
• Mildred Necesario Macasinag, PHYSICAL THERAPIST
• Brandon David Macias, FNP-C
• Macias, McKenzie, Moreno, LLC (Out N' About Day Training)

• Preferred Provider Organization in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.