Organization Active NPI

Magnolia Healthcare Center LLC

  • Skilled Nursing Facility
  • Magnolia, AR
National Provider Identifier
1013905561
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
746 Issued in AR
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

Updated by the provider on Apr 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
154004311MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.