Magnolia'S Personal Care Medical Durable Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12278 Issued in LA

Legal business name

MAGNOLIA'S PERSONAL CARE MEDICAL DURABLE EQUIPMENT INC

Practice address

205 Crouchet St
Carencro, LA 70520

Phone

(337) 232-4351

Fax

(337) 232-4352

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Emilie L Duhon

Title

Owner/Directer

Phone

(337) 232-4351

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Magnolia's Home Care LLC Other name

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043395544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WEST PINHOOK ROAD",
            "address_2": "SUITE 229",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "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": "205 CROUCHET ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "70520",
            "telephone_number": "337-232-4351",
            "fax_number": "337-232-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA'S PERSONAL CARE MEDICAL DURABLE EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUHON",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTER",
        "authorized_official_telephone_number": "337-232-4351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "12278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623709",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720879",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia's Home Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Zoe Maroulis, OT
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• Christopher Matzye, LOTR
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• All providers in Carencro, LA
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.