MEDICARE: MAGNA CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	224Z00000X	Occupational Therapy Assistant
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1174267603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGNA CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	711 STONEWOOD BEND DR
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-4064
Country	:	US
Telephone Number	:	636-265-3185
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 STONEWOOD BEND DR
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-4064
Country	:	US
Telephone Number	:	636-265-3185
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL RIVAS GARAYGAY
Credential	:	PT
Telephone Number	:	636-265-3185

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	07/23/2025

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Directions to “MAGNA CARE SERVICES LLC ” Practice Location

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