Madysen House Enterprises

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MADYSEN HOUSE ENTERPRISES

Practice address

2500 N Eastman Rd
#1142
Longview, TX 75605-4059

Phone

(281) 203-9852

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Mabel Yarbrough

Title

Ceo

Phone

(281) 203-9852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1972058881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N EASTMAN RD",
            "address_2": "#1142",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054059",
            "telephone_number": "281-203-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N EASTMAN RD",
            "address_2": "#1142",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054059",
            "telephone_number": "281-203-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADYSEN HOUSE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-203-9852"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Christopher Mack, D.D.S.
• Shundra Mack
• Simon Lucas Mack, D.D.S.
• Susan M Maddox
• Ugochukwu Ikechi Maduforo, MD
• Leigh Ann Mahjoobi, FNP
• Makona SNF, LLC
• Edward Tamayo Maldonado, C.R.N.A.
• Tariq S Malik, PA
• Amy J Malone, PA-C

• Adult Mental Health Clinic/Center in Longview, TX
• Providers in Longview, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.