Provider Demographics
NPI:1962627471
Name:CALAB, INC.
Entity type:Organization
Organization Name:CALAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-647-0191
Mailing Address - Street 1:6470 HEATH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-4621
Mailing Address - Country:US
Mailing Address - Phone:210-647-0191
Mailing Address - Fax:210-647-7637
Practice Address - Street 1:10115 CEDARMONT DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-3109
Practice Address - Country:US
Practice Address - Phone:210-647-0191
Practice Address - Fax:210-647-7637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117041315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities