Healthcare Provider Details

I. General information

NPI: 1811293624
Provider Name (Legal Business Name): MAGLINGER HOME BASED SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 LINCOLN AVE STE 201
EVANSVILLE IN
47714-1028
US

IV. Provider business mailing address

PO BOX 1617
EVANSVILLE IN
47706-0019
US

V. Phone/Fax

Practice location:
  • Phone: 812-303-0212
  • Fax:
Mailing address:
  • Phone: 812-471-1591
  • Fax: 812-471-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBIN MAGLINGER
Title or Position: OWNER
Credential:
Phone: 812-303-0212