Organization Active NPI

Magnolia'S Home Care LLC

  • In Home Supportive Care Agency
  • Lafayette, LA
National Provider Identifier
1013388081
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGNOLIA'S HOME CARE LLC
Practice address
1909 W University Ave
Lafayette, LA 70506
Phone
(337) 232-4351
Fax
(337) 232-4352
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emilie Duhon
Title
Owner/Administrator
Phone
(337) 232-4351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LA Primary

Addresses

Primary practice location

1909 W University Ave
Lafayette, LA 70506

Mailing address

PO Box 2547
Lafayette, LA 70502-2547
Phone (337) 232-4351

Other identifiers 3

IdentifierTypeStateIssuer
1623709MedicaidLA
1334154MedicaidLA
172089MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Magnolia'S Home Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1013388081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2547",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705022547",
            "telephone_number": "337-232-4351",
            "fax_number": "337-232-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-232-4351",
            "fax_number": "337-232-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-232-4351"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623709",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1334154",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.