NPIMap

Organization Active NPI

Magnolia Home Health, LLC

  • Home Health Agency
  • Sedona, AZ
National Provider Identifier
1043652704
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAGNOLIA HOME HEALTH, LLC
Practice address
6560 Sr 179 Ste 208
Sedona, AZ 86351-6923
Phone
(928) 284-1500
Fax
(866) 284-2849
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Susana Graham, RCPNPI 1073848487
Title
Managing Member
Phone
(602) 373-7052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6560 Sr 179 Ste 208
Sedona, AZ 86351-6923

Mailing address

PO Box 20015
Sedona, AZ 86341-0015
Phone (928) 284-1500

National Provider Directory

National Provider Directory

Locations

6560 Sr 179
Ste 208
Sedona, AZ 86351
Phone (602) 373-7052

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1043652704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20015",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863410015",
            "telephone_number": "928-284-1500",
            "fax_number": "866-284-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 SR 179 STE 208",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863516923",
            "telephone_number": "928-284-1500",
            "fax_number": "866-284-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-373-7052",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.