Mag's House

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-802 Issued in NC

Legal business name

MAG'S HOUSE

Practice address

7638 Jackson School Rd # a
Browns Summit, NC 27214-9706

Phone

(336) 656-5336

Fax

(336) 643-9189

NPI assigned

Feb 11, 2007

Last updated

Aug 22, 2020By 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

Ms. Cydney L Baker

Title

Owner

Phone

(336) 558-8628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861533853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 BUNCH RD",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589138",
            "telephone_number": "336-656-5336",
            "fax_number": "336-643-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 JACKSON SCHOOL RD # A",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272149706",
            "telephone_number": "336-656-5336",
            "fax_number": "336-643-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAG'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CYDNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-558-8628",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• M Y Care (Myc)
• M&S Supervised Living LLC
• Tedd B Masiongale, CCC-SLP
• Nituya Maye
• Amy Susan McKee, MA, CCC-SLP
• Angela M Mirarchi, CRNA
• Moravian Family Care Home II

• Emotionally Disturbed Childrens' Residential Treatment Facility in Browns Summit, NC
• Providers in Browns Summit, 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 Aug 22, 2020; 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.