TAJ MANAGEMENT, LLC (NPI# 1780031237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780031237 |
| Entity Type | Organization |
| Organization Name | TAJ MANAGEMENT, LLC |
| Practice Address |
10730 Potranco Rd Ste 122-242 San Antonio TX 78251-3327 |
| Practice Telephone | 2104856126 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |
| Authorized Official Name | VARNELL JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 2104856126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TAJ MANAGEMENT, LLC | 5825 Callaghan, Suite 200, San Antonio, TX 78228-1107 |
| Street Address |
10730 POTRANCO RD STE 122-242 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386977064 | Grmnm, Pllc | Psychiatry & Neurology | 10730 Potranco Rd, Ste 122 #195, San Antonio, TX 78251-3330 | 2009-09-11 |
| 1235586785 | Varnell Johnson Sr. | Counselor | 10730 Potranco Rd, Ste 122-242, San Antonio, TX 78251-3327 | 2016-05-14 |
| 1407286016 | Travis Waites | Durable Medical Equipment & Medical Supplies | 10730 Potranco Rd, Ste 122-260, San Antonio, TX 78251-3327 | 2013-11-18 |
| 1801192612 | Tmc Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 10730 Potranco Rd, Suite 122-227, San Antonio, TX 78251-3327 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730742198 | Serenity Oaks, Pllc | Clinic/Center | 5368 Fredericksburg Rd Ste 100, San Antonio, TX 78229-6108 | 2019-04-20 |
| 1639636335 | Phoenix Houses of Texas, Inc | Clinic/Center | 1135 Mission Rd Bldg 2, San Antonio, TX 78210-4505 | 2019-02-28 |
| 1548784705 | Clayton & Blue Recovery | Clinic/Center | 7603 Caballo Cyn, San Antonio, TX 78244-3513 | 2017-07-31 |
| 1336599182 | Soba Texas LLC | Clinic/Center | 1401 Dezarae, Lot 4, San Antonio, TX 78253 | 2016-06-13 |
| 1639491970 | Alpha Home Inc | Clinic/Center | 300 E Mulberry Ave, San Antonio, TX 78212-3023 | 2010-02-26 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| 1841768702 | Onto Treatment Center | Clinic/Center | 23103 Ih 10 W Ste 105, San Antonio, TX 78257-1689 | 2018-11-08 |
| 1700393972 | Nuhope Sa Recovery LLC | Clinic/Center | 19026 Ridgewood Pkwy Ste 311, San Antonio, TX 78259-5502 | 2018-01-09 |
| 1912382748 | The Best Option, Limited Liability Company | Clinic/Center | 3700 Fredericksburg Rd Ste 137, San Antonio, TX 78201-3268 | 2015-07-22 |
| 1942434725 | San Antonio Lifetime Recovery, Inc. | Clinic/Center | 10290 Southton Rd, San Antonio, TX 78223-4835 | 2009-05-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
Please comment or provide details below to improve the information on TAJ MANAGEMENT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.