Organization Active NPI

The Magnolia School, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jefferson, LA
National Provider Identifier
1154519247
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
THE MAGNOLIA SCHOOL, INC
Practice address
2007 James St
Jefferson, LA 70121-2207
Phone
(504) 731-1303
Fax
(504) 733-7593
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Melanie A. Beck
Title
Controller
Phone
(504) 731-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X LA Primary

Addresses

Primary practice location

2007 James St
Jefferson, LA 70121-2207

Mailing address

100 Central Ave
Jefferson, LA 70121-3402
Phone (504) 731-1303

Other identifiers 1

IdentifierTypeStateIssuer
1719641MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Magnolia School Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1154519247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213402",
            "telephone_number": "504-731-1303",
            "fax_number": "504-733-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 JAMES ST",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212207",
            "telephone_number": "504-731-1303",
            "fax_number": "504-733-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAGNOLIA SCHOOL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "504-731-1303"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719641",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.