Active NPI
Magnolia Healthcare LLC
- In Home Supportive Care Agency
- Arvada, CO
National Provider Identifier
1275258246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MAGNOLIA HEALTHCARE LLC
- Practice address
- 6275 W 68TH Cir
Arvada, CO 80003-4165 - Phone
- (720) 661-9498
- NPI assigned
- Oct 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madina Sorensen
- Title
- President
- Phone
- (720) 661-9498
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6275 W 68TH Cir
Arvada, CO 80003-4165
Mailing address
6275 W 68TH Cir
Arvada, CO 80003-4165
Phone (720) 661-9498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000212230 | Medicaid | CO |
Other names 1
- Magnolia Healthcare LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723248000000",
"number": "1275258246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6275 W 68TH CIR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034165",
"telephone_number": "720-661-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6275 W 68TH CIR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034165",
"telephone_number": "720-661-9498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-11",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A",
"authorized_official_last_name": "SORENSEN",
"authorized_official_first_name": "MADINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "720-661-9498"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000212230",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Healthcare LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Magnolia Healthcare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.