# MGA HEALTHCARE TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MGA Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073837514
- **Authorized official:** ALEXANDRA LEE KOLOSKUS (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (720) 276-7706

## Contact information

- **Practice address:** 15601 DALLAS PKWY STE 125, ADDISON, TX 75001-3499
- **Practice address phone:** (214) 292-9900
- **Practice address fax:** (214) 292-9809
- **Mailing address:** 7025 N SCOTTSDALE RD STE 200, PARADISE VALLEY, AZ 85253-3675
- **Mailing address phone:** (602) 508-1883
- **Mailing address fax:** (602) 385-4941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | 015128 | TX | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 01/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 213979201 | — | TX |