Magnolia Angels Healthcare Staffing LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNOLIA ANGELS HEALTHCARE STAFFING LLC

Practice address

635 E 106TH St
Indianapolis, IN 46280-1329

Phone

(317) 220-8499

NPI assigned

Aug 30, 2020

Organization subpart

No

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

Authorized official

Name

Mykeshia Taylor

Title

Administrator

Phone

(317) 688-8204

Specialties & licenses 3

Addresses

Other names 1

• Magnolia Angels Healthcare Staffing LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1174136915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801329",
            "telephone_number": "317-220-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801329",
            "telephone_number": "317-220-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ANGELS HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MYKESHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-688-8204"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mykeshia@magnoliaangelsllc.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "635 E 106th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462801329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magnolia Angels Healthcare Staffing LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mona Raissel L Maglangit
• Dean D.T. Maglinte, MD
• Magnificat Family Medicine, LLC
• Magnificent Homecare LLC
• Magnolia Angels Adult Day Services, LLC
• Magnolia Angels Home Care LLC
• Magnolia Angels LLC
• Magnolia Angels Nursing Services LLC
• Magnolia Angels Transportation LLC
• Magnolia Care LLC

• Skilled Nursing Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.