NPIMap

Organization Active NPI

Magnolia Regional Health Center

Doing business as MRHC - Home Health

  • Home Health Agency
  • Corinth, MS
National Provider Identifier
1063576247
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAGNOLIA REGIONAL HEALTH CENTER
Doing business as
MRHC - Home Health
Practice address
1001 S Harper Rd
Corinth, MS 38834-6646
Phone
(662) 293-1405
Fax
(662) 286-4242
NPI assigned
Dec 21, 2006
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MAGNOLIA REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mrs. Marquetta Trice, LPN, LBSW, MPH, MBA
Title
Homecare Director
Phone
(662) 293-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1001 S Harper Rd
Corinth, MS 38834-6646

Mailing address

1001 S Harper Rd
Corinth, MS 38834-6646
Phone (662) 293-1405

Other identifiers 3

IdentifierTypeStateIssuer
000070636OtherMSHOME HEALTH AGENCY
0000000296OtherTNTN HH LICENSURE
000070509MedicaidMS

Other names 1

  • MRHC - Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121210000172 MS Part A Provider - Home Health Agency 9739078460 Practice locations: Corinth, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063576247. Details of each certification follow.

Home health agency certification: CCN 257117

Legal name
MAGNOLIA REGIONAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 1978
Last certification
Oct 24, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Incorporated
May 3, 1990 in MS
Enrollment address
1001 South Harper Road
Corinth, MS 38834-6646
HHA Branch

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Magnolia Regional Health Center HH & Hospice AgencyCCN 257117 · All quality measures
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Apr 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regionl Health18 organizations share this tax ID, including this one
Part of
Magnolia Regionl Health

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
James Hobson Individual Corporate OfficerCeo Feb 10, 2020
W-2 Managing EmployeeCeo Feb 10, 2020
Stephen R Thames Individual Corporate OfficerCfo Nov 1, 2023
W-2 Managing EmployeeCfo Nov 1, 2023
Jamie Walker Individual W-2 Managing EmployeeDirector Home Health Jan 1, 2024
Brandon Reece Individual W-2 Managing EmployeeExecutive Director of Physici Sep 22, 2022
Hannah Bascomb Individual W-2 Managing EmployeeDirector of Revenue Cycle Nov 1, 2023

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Regional Health CenterCorinth, MS, CCN 250009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 1966
Jul 1, 1966
Magnolia Regional Health Center - Behavioral HealthCorinth, MS, CCN 25S009 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Oct 1, 1992
Oct 1, 1992
Magnolia Express CareCorinth, MS, CCN 258689 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2024
Nov 1, 2024
Magnolia Women's ClinicCorinth, MS, CCN 258690 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2024
Nov 1, 2024
Magnolia Pediatric ClinicCorinth, MS, CCN 258691 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

Affiliated clinicians 30

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1063576247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346646",
            "telephone_number": "662-293-1405",
            "fax_number": "662-286-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346646",
            "telephone_number": "662-293-1405",
            "fax_number": "662-286-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH CENTER",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "TRICE",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_title_or_position": "HOMECARE DIRECTOR",
        "authorized_official_telephone_number": "662-293-1401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN, LBSW, MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "000070636",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN HH LICENSURE",
            "identifier": "0000000296",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000070509",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRHC - Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.