Taj Management, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TAJ MANAGEMENT, LLC

Practice address

10730 Potranco Rd
Ste 122-242
San Antonio, TX 78251-3327

Phone

(210) 485-6126

NPI assigned

May 14, 2016

Last updated

May 14, 2016By 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

Varnell JohnsonNPI 1235586785

Title

President

Phone

(210) 485-6126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Varnell L. Johnson Sr., LPC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1235586785
  NPD (past) Authorized official

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463184000000",
    "number": "1780031237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD",
            "address_2": "STE 122-242",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD",
            "address_2": "STE 122-242",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513327",
            "telephone_number": "210-485-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAJ MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VARNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-485-6126"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Louise Taillon, NP
• Deepali Tailor, MD
• Yetunde Taiwo
• Dania Taiym, RBT-23-260342
• Naven Taiym, DDS
• Laura Leigh Takach, COTA
• Minami Takahashi, DPT
• Christopher H Takimoto, M.D.
• Chandan Takkar, MD
• Brandy Talamantes

• Substance Use Disorder Rehabilitation Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; 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.