MAGGIE JOHNSON NURSING CENTER
NPI 1407853823
Nursing Facility/Intermediate Care Facility in Austin, TX

Q: What is Johnson Custodial Home, Inc.'s NPI number?

The NPI number for Johnson Custodial Home, Inc. is 1407853823. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Maggie Johnson Nursing Center.

Q: What is Johnson Custodial Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since June 30, 2005

3406 E 17TH ST, AUSTIN, TX 78721(512) 926-4760(512) 928-9565 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maggie Johnson Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGGIE JOHNSON NURSING CENTER (NPI 1407853823) is a healthcare organization registered as a nursing facility/intermediate care facility in Austin, Texas and active in the NPI registry since June 2005. The organization lists Cheryl L Killian, President, as its authorized official.

NPPES Registry Identity

NPI1407853823

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameJOHNSON CUSTODIAL HOME, INC.

Location Address3406 E 17TH STAustin, TX 78721-1106

Mailing Address3801 Woodside DrArlington, TX 76016-3030 · (817) 654-3042 · Fax (817) 446-3666

Phone(512) 926-4760

Fax(512) 928-9565

Organization SubpartNo

Authorized OfficialCheryl L KillianPresident · (817) 654-3042

Enumeration DateJune 30, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407853823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in TX · 111923

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

3406 E 17TH ST, Austin, TX 78721

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Other Names 1

Doing Business AsMaggie Johnson Nursing Center

Other Identifiers 1

Medicaid4694TX

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Custodial Home, Inc.'s NPI number?

The NPI number for Johnson Custodial Home, Inc. is 1407853823. It was assigned to this organization in the NPPES registry on June 30, 2005. The provider is doing business as Maggie Johnson Nursing Center.

Where is Johnson Custodial Home, Inc. located?

Johnson Custodial Home, Inc. is located at 3406 E 17th St, Austin, TX 78721. The listed phone number is (512) 926-4760.

What is Johnson Custodial Home, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Johnson Custodial Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.