Mag House II

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

070293 Issued in NC

Legal business name

MAG HOUSE II

Doing business as

Mag House

Practice address

1104 W Meadowview Rd
Greensboro, NC 27406-4142

Phone

(336) 558-8628

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Baker, BA

Title

Partner

Phone

(336) 558-8628

Specialties & licenses 1

Addresses

Other names 1

• Mag House Doing business as

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1699939975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064142",
            "telephone_number": "336-558-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274064142",
            "telephone_number": "336-558-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG HOUSE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-558-8628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "070293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mag House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Emilio Madera Manzueta, M.D
• Madison Community Alternatives Inc.
• Madtes Aughenbaugh Physical Therapy Services (Physical Therapy & Sports Rehabilitation Clinic)
• Robert O Madtes, PT
• Maebar 3 LLC (Comfort Keepers Greensboro NC)
• Rossana Lorentz Magalhaes, MS-EDS
• Adrienne Fern Mages, MSW, LCSW
• Charles Luke Magnant, PA-C
• Magnet ABA Therapy, LLC
• Ma. Elaine Javier Magno, PT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.