Organization Active NPI

Molden to Win

  • Case Management Agency
  • San Antonio, TX
National Provider Identifier
1811437643
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOLDEN TO WIN
Practice address
10027 Bermuda Palm
San Antonio, TX 78245-2892
Phone
(210) 782-4321
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Mr. Terrell Jackson, PASTOR
Title
Program Director
Phone
(210) 782-4321

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TX Primary
Community/Behavioral Health Agency 251S00000X TX
Foster Care Agency 253J00000X 253J00000X TX

Addresses

Primary practice location

10027 Bermuda Palm
San Antonio, TX 78245-2892

Mailing address

10027 Bermuda Palm
San Antonio, TX 78245-2892
Phone (210) 782-4321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1811437643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10027 BERMUDA PALM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452892",
            "telephone_number": "210-782-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10027 BERMUDA PALM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452892",
            "telephone_number": "210-782-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLDEN TO WIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "210-782-4321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TX",
            "license": "253J00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.