NPIMap

Organization Active NPI

Magnolia Home Health Care, Inc.

  • Home Health Agency
  • Arcadia, LA
National Provider Identifier
1245348317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
876 Issued in LA
Legal business name
MAGNOLIA HOME HEALTH CARE, INC.
Practice address
1285 Pine St
Suite 100
Arcadia, LA 71001-3120
Phone
(318) 263-2100
Fax
(318) 263-2700
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rebecca Perritt Holtzclaw, R.N.
Title
Aministrator/Co-Owner
Phone
(318) 263-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 876 LA Primary

Addresses

Primary practice location

1285 Pine St
Suite 100
Arcadia, LA 71001-3120

Mailing address

1285 Pine St
Suite 100
Arcadia, LA 71001-3120
Phone (318) 263-2100

Other identifiers 1

IdentifierTypeStateIssuer
1403466MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000199 LA Part A Provider - Home Health Agency 5193850535 Practice locations: Arcadia, LA

Home health agency certification: CCN 197447

Legal name
MAGNOLIA HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 1992
Last certification
Mar 11, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1285 Pine St
Ste 100
Arcadia, LA 71001-3120

Care Compare: Home health agency

Medicare Care Compare
Listed as
Magnolia Home Health Care, IncCCN 197447
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 11, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0879354Magnolia Home Health Care, Inc1285 Pine Street Suite 100, Arcadia, LA 71001Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Locations

1285 Pine St
Ste 100
Arcadia, LA 71001
Phone (318) 263-2100

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avery Causey Individual 5% Or Greater Direct Ownership InterestCeo Sep 24, 2025 50%
Corporate OfficerChief Executive Officer Sep 24, 2025 50%
Corporate DirectorPresident Sep 24, 2025 50%
Alexander Causey Individual 5% Or Greater Direct Ownership InterestChief Administrative Officer Sep 24, 2025 50%
Corporate OfficerChief Administrative Officer Sep 24, 2025 50%
Corporate DirectorSecretary/Treasurer Sep 24, 2025 50%
Lindsey Carswell Individual W-2 Managing EmployeeAd; Mar 11, 2024 50%
Dawn Causey Individual 5% Or Greater Indirect Ownership Interest Sep 24, 2025 50%
Haley T Fontenot Individual W-2 Managing EmployeeDirector of Nursing Aug 1, 2013 50%
Karale Dixon-Causey Individual Contracted Managing EmployeeCpa/Consultant Sep 24, 2025
Corporate Officer Sep 24, 2025
Kourtney Causey Individual 5% Or Greater Indirect Ownership Interest Sep 24, 2025 50%
Wende Bruce Individual Contracted Managing EmployeeAd; Sep 24, 2025 35%
Corporate Officer Sep 24, 2025
Homeland Federal Savings Bank Organization, Columbia, LA Financial institution 5% Or Greater Security Interest Sep 24, 2025 100%

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245348317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 PINE ST",
            "address_2": "SUITE 100",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013120",
            "telephone_number": "318-263-2100",
            "fax_number": "318-263-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 PINE ST",
            "address_2": "SUITE 100",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013120",
            "telephone_number": "318-263-2100",
            "fax_number": "318-263-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZCLAW",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "PERRITT",
        "authorized_official_title_or_position": "AMINISTRATOR/CO-OWNER",
        "authorized_official_telephone_number": "318-263-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, LA

Sources for this page

Verify at the official NPI Registry.