NPIMap

Organization Active NPI

Magnolia Home Care Services

  • In Home Supportive Care Agency
  • Downers Grove, IL
National Provider Identifier
1194259184
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGNOLIA HOME CARE SERVICES
Practice address
1307 Butterfield Rd
Suite # 416
Downers Grove, IL 60515-5606
Phone
(331) 903-0693
Fax
(630) 206-0693
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Abidemi Fijabi
Title
Owner
Phone
(331) 903-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1307 Butterfield Rd
Suite # 416
Downers Grove, IL 60515-5606

Mailing address

1307 Butterfield Rd
Suite # 416
Downers Grove, IL 60515-5606
Phone (331) 903-0693

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Home Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1307 Butterfield Rd
Ste 416
Downers Grove, IL 60515
Phone (331) 903-0693

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1194259184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 BUTTERFIELD RD",
            "address_2": "SUITE # 416",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155606",
            "telephone_number": "331-903-0693",
            "fax_number": "630-206-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 BUTTERFIELD RD",
            "address_2": "SUITE # 416",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155606",
            "telephone_number": "331-903-0693",
            "fax_number": "630-206-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "FIJABI",
        "authorized_official_first_name": "ABIDEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "331-903-0693"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.