Magnified Nursing and Rehabilitation, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNIFIED NURSING AND REHABILITATION, LP

Practice address

1115 Anderson Street
College Station, TX 77840

Phone

(979) 693-1515

Fax

(979) 696-0462

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Dan D Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1780004036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ANDERSON STREET",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-693-1515",
            "fax_number": "979-696-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFIED NURSING AND REHABILITATION, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP CROSS OVER",
            "identifier": "343957201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001025914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chesla Marie Macias
• Kristen Nicole Mackay, PT, DPT
• Cameron Alise Mackenzie
• Abagaile Magee, COTA
• Magnified Health & Rehab of Anderson, LLC
• Sina Mahboubi, PHARMD
• Nasif Mahmud
• Kristen Maizus, PT, DPT
• Scott Roger Makins, DDS
• Malcolm Rude, M.D., P.a.

• Skilled Nursing Facility in College Station, TX
• Providers in College Station, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.