Provider Demographics
NPI:1053682740
Name:MAGIS CARE LLC
Entity Type:Organization
Organization Name:MAGIS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHICHIOCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-305-7811
Mailing Address - Street 1:1670 S AMPHLETT BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2511
Mailing Address - Country:US
Mailing Address - Phone:650-305-7811
Mailing Address - Fax:650-305-7805
Practice Address - Street 1:1670 S AMPHLETT BLVD STE 225
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2511
Practice Address - Country:US
Practice Address - Phone:650-305-7811
Practice Address - Fax:650-305-7805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care