Organization Active NPI

Volunteer Board of Uhcs Resources LLC

Doing business as Magnolias Breast Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
National Provider Identifier
1093135568
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VOLUNTEER BOARD OF UHCS RESOURCES LLC
Doing business as
Magnolias Breast Health Boutique
Practice address
818 Saint Sebastian Way Ste 205
Augusta, GA 30901-2652
Phone
(706) 774-4155
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
VOLUNTEER BOARD OF UNIVERSITY HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mrs. Caroline Thompson Thomas
Title
Director, Volunteer Services
Phone
(706) 774-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

818 Saint Sebastian Way Ste 205
Augusta, GA 30901-2652

Mailing address

1350 Walton Way
Augusta, GA 30901-2612
Phone (706) 774-4155

Other names 1

  • Magnolias Breast Health Boutique Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203000764 GA DME Supplier - Prosthetic Personnel 6901128958 Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1093135568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012612",
            "telephone_number": "706-774-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SAINT SEBASTIAN WAY STE 205",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012652",
            "telephone_number": "706-774-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER BOARD OF UHCS RESOURCES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEER BOARD OF UNIVERSITY HEALTH, INC.",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "DIRECTOR, VOLUNTEER SERVICES",
        "authorized_official_telephone_number": "706-774-2208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolias Breast Health Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.