Organization Active NPI

Magna Home Health Care Inc.

  • Home Health Agency
  • Broken Arrow, OK
National Provider Identifier
1053303701
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7410 Issued in OK
Legal business name
MAGNA HOME HEALTH CARE INC.
Practice address
4271 W Albany St
Broken Arrow, OK 74012-1233
Phone
(918) 459-5073
Fax
(918) 459-5075
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Ms. Christiana C Agbasi, RN
Title
Administrator
Phone
(918) 459-5073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7410 OK Primary

Addresses

Primary practice location

4271 W Albany St
Broken Arrow, OK 74012-1233

Mailing address

4271 W Albany St
Broken Arrow, OK 74012-1233
Phone (918) 459-5073

Other names 1

  • MAGNA HEALTH CARE SERVICES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111201000786 OK Part A Provider - Home Health Agency 0345415345 Practice locations: Broken Arrow, OK

Home health agency certification: CCN 377497

Legal name
MAGNA HOME HEALTH CARE INC.
Doing business as
MAGNA HEALTH CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 5, 1995
Last certification
Mar 10, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 5, 1995 in OK
Enrollment address
4271 West Albany Street
Broken Arrow, OK 74012-1233

Care Compare: Home health agency

Medicare Care Compare
Listed as
Magna Home Health Care, IncCCN 377497 · All quality measures
Ownership
Proprietary
Certified
Sep 5, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Leonard Agbasi Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Apr 1, 1999 50%
Corporate OfficerChief Financial Officer Aug 9, 1995 25%
Corporate DirectorChief Financial Officer Aug 9, 1995 25%
W-2 Managing Employee Nov 15, 1995 25%
Operational/Managerial ControlChief Financial Officer Aug 9, 1995 25%
Christiana Agbasi Individual 5% Or Greater Direct Ownership InterestAdministrator Apr 1, 1999 50%
Corporate Officer Aug 9, 1995 25%
Corporate Director Aug 9, 1995 25%
W-2 Managing EmployeeDirector of Nursing Sep 15, 1995 25%
Operational/Managerial ControlDirector of Nursing Aug 9, 1995 25%

Change-of-ownership history 1

DateEventCounterparty
Nov 30, 2021 Change of OwnershipThis provider was the seller A Path of Care Hospice II, LLCCCN 371700, OK, NPI 1407512726

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1053303701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121233",
            "telephone_number": "918-459-5073",
            "fax_number": "918-459-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 W ALBANY ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121233",
            "telephone_number": "918-459-5073",
            "fax_number": "918-459-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "AGBASI",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-459-5073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNA HEALTH CARE SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.