MEDICARE: MINI STAYS OF TEXAS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	174200000X	Meals Provider
4	343900000X	Non-emergency Medical Transport (VAN)
5	177F00000X	Lodging Provider

General Provider Information

NPI Number	:	1720925159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINI STAYS OF TEXAS

Provider Business Mailing Address
First Line	:	301 S MCDOWELL ST STE 1251761
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2623
Country	:	US
Telephone Number	:	501-352-3262
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S MCDOWELL ST STE 1251761
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2623
Country	:	US
Telephone Number	:	501-352-3262
Fax Number	:

Authorized Official
Title or Position	:	OPERATOR
Name	:	MAKIAH POWELL
Credential	:
Telephone Number	:	501-352-3262

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	06/10/2026

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Directions to “MINI STAYS OF TEXAS ” Practice Location

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