Magnolia Memory Care, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MAGNOLIA MEMORY CARE, INC.

Practice address

1190 Gold Hill Rd
Fort Mill, SC 29708-8977

Phone

(803) 548-4078

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Susan Bill, RN, CDP

Title

Executive Director

Phone

(704) 840-2509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1225886393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT ROAD PMB 876",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "704-840-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 GOLD HILL RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088977",
            "telephone_number": "803-548-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEMORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "BILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-840-2509",
        "authorized_official_credential": "RN, CDP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynch, CF-SLP
• James Matthew Macek, DPT
• Hannah Eilene Mach
• Luke Francis Mackinnon, DC
• David Matthew Macknet, M.D.
• Magnolia Memory Care, Inc.
• Kelly Jean Maier, PT
• Amelia Maitland
• Marissa Nicole Makwinski
• Nancy E Malchow, RN

• Case Management Agency in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.