Active NPI
Magnolia Healthcare Center LLC
- Skilled Nursing Facility
- Magnolia, AR
National Provider Identifier
1013905561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 746
- Legal business name
- MAGNOLIA HEALTHCARE CENTER LLC
- Practice address
- 600 Lelia St
Magnolia, AR 71753-4035 - Phone
- (870) 234-7000
- Fax
- (870) 234-7168
- NPI assigned
- Oct 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Margaret Coats
- Title
- MDS Co Ordinator
- Phone
- (870) 234-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 746 | AR | Primary |
Addresses
Primary practice location
600 Lelia St
Magnolia, AR 71753-4035
Mailing address
600 Lelia St
Magnolia, AR 71753-4035
Phone (870) 234-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154004311 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
600 Lelia
Magnolia, AR 71753
Phone (870) 234-7000
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nurse Practitioner
- Magnolia, AR
- NPI 1215209648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1013905561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LELIA ST",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717534035",
"telephone_number": "870-234-7000",
"fax_number": "870-234-7168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LELIA ST",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717534035",
"telephone_number": "870-234-7000",
"fax_number": "870-234-7168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "COATS",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "MDS CO ORDINATOR",
"authorized_official_telephone_number": "870-234-7000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154004311",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
- Tolitha Anne Loyd, COTA
- Magnolia Anesthesia Associates Inc
- Magnolia Health and Rehab, LLC
- Magnolia Health Center
- Magnolia Health Holdings LLC
- Magnolia Healthcare Center LLC Group
- Magnolia Healthcare LLC
- Magnolia Pediatric Clinic, Inc.
- Magnolia Regional Health System Inc
- Magnolia Regional Health System Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.