Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson Custodial Home, Inc

Organization Nursing Facility/Intermediate Care Facility · NPI 1407853823

Johnson Custodial Home, Inc is a Nursing Facility/Intermediate Care Facility in Austin, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3406 E 17th St
Austin, TX 78721-1106
Phone: (512) 926-4760
Fax: (512) 928-9565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 111923 (TX)

Record details

NPI number1407853823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Killian — President · (817) 654-3042
Other names Maggie Johnson Nursing Center
NPI enumeratedJune 30, 2005
Last updated in NPPESAugust 22, 2020
Mailing address3801 Woodside Dr, Arlington, TX 76016-3030

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