Organization Active NPI

Magnolia Enterprises

  • Skilled Nursing Facility
  • Lawrenceburg, IN
National Provider Identifier
1255366308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAGNOLIA ENTERPRISES
Practice address
403 Bielby Rd
Lawrenceburg, IN 47025-1003
Phone
(812) 537-1132
Fax
(812) 537-1745
NPI assigned
Jul 11, 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
Mr. Bryan Crowe
Title
Controller
Phone
(317) 818-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IN Primary

Addresses

Primary practice location

403 Bielby Rd
Lawrenceburg, IN 47025-1003

Mailing address

403 Bielby Rd
Lawrenceburg, IN 47025-1003
Phone (812) 537-1132

Other names 1

  • Woodland Hills Care Center Doing business as

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
15D0687424Woodland Hills Care Center the BD of403 Bielby Rd, Lawrenceburg, IN 47025Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255366308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251003",
            "telephone_number": "812-537-1132",
            "fax_number": "812-537-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251003",
            "telephone_number": "812-537-1132",
            "fax_number": "812-537-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "13178181240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, IN

Sources for this page

  • 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.