Provider Demographics
NPI:1629581491
Name:MAP CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MAP CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-627-1010
Mailing Address - Street 1:1114 LOST CREEK BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6362
Mailing Address - Country:US
Mailing Address - Phone:855-627-1010
Mailing Address - Fax:512-306-9188
Practice Address - Street 1:1114 LOST CREEK BLVD STE 500
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746
Practice Address - Country:US
Practice Address - Phone:855-627-1010
Practice Address - Fax:512-306-9188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAP HEALTH MANAGEMENT, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-14
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty