Californian Magnolia Convalescent Hospital Inc.

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC.

Practice address

8133 Magnolia Ave
Riverside, CA 92504-3498

Phone

(951) 688-4321

Fax

(951) 688-0258

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Grant Edgson

Title

Contoller

Phone

(951) 688-4321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnolia Hospice Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225049299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8133 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043498",
            "telephone_number": "951-688-4321",
            "fax_number": "951-688-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043498",
            "telephone_number": "951-688-4321",
            "fax_number": "951-688-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDGSON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CONTOLLER",
        "authorized_official_telephone_number": "951-688-4321"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01641F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• California Mental Health
• California Neurointerventional Surgeons, Inc
• California Room and Board Coalition
• California Total Joints Inc
• Californian Magnolia Convalescent (Magnolia Rehabilitation and Nursing Center)
• Hannah Israel Calixte
• Lauren Calkins
• Mikayla Call
• Austin Callahan, PT
• Margaret Camille Callaway

• Inpatient Hospice in Riverside, CA
• Providers in Riverside, CA by specialty
• Inpatient Hospice in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.