Magnolia Haven Nursing Home LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNOLIA HAVEN NURSING HOME LLC

Practice address

603 Wright St
Tuskegee, AL 36083-1585

Phone

(334) 727-4960

Fax

(334) 727-2159

NPI assigned

Jun 17, 2006

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anita L Evans

Title

Administrator

Phone

(334) 727-4960

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285679142. Details of each certification follow.

• CCN 015112 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015112

Legal name

MAGNOLIA HAVEN NURSING HOME LLC

Doing business as

MAGNOLIA HAVEN HEALTH & REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1975

Last certification

Jul 19, 2023

Beds

111

Ownership / control type

Corporation

Multi-facility organization

BELL HEALTHCARE SERVICES INCORPORATED

Most recent change of ownership

Jul 1, 2003

Organization structure

LLCProprietary

Incorporated

Jul 1, 2003 in AL

Enrollment address

603 Wright St
Tuskegee, AL 36083-1585

Nursing home name

MAGNOLIA HAVEN HEALTH AND REHABILITATION CENTER

Affiliated entity

BALL HEALTHCARE SERVICES

Listed as

Magnolia Haven Health and Rehabilitation CenterCCN 015112 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1975

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11185.4 residents per day on average

Chain

Ball Healthcare Services9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Magnolia Haven Nursing Home, LLC

  dba Tuskegee Rehabilitation Clinic

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tuskegee, AL
  • NPI 1831429158

  Member Of

  NPD member

All disclosed owners & managing parties 11

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas Daniel Holt, MD

  • Family Medicine Physician
  • Hayneville, AL
  • NPI 1306848494

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916

  Adp of the SNF

  CMS ownership

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Magnolia Haven Nursing Home, LLC

  dba Tuskegee Rehabilitation Clinic

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tuskegee, AL
  • NPI 1831429158
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Daniel Holt, MD

  • Family Medicine Physician
  • Hayneville, AL
  • NPI 1306848494
  NPD (past)

Affiliated clinicians 1

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

• Thomas Daniel Holt, MD

  • Family Medicine Physician
  • Hayneville, AL
  • NPI 1306848494

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1285679142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHERN WAY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9801",
            "fax_number": "251-433-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WRIGHT ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831585",
            "telephone_number": "334-727-4960",
            "fax_number": "334-727-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HAVEN NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-727-4960",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4751120S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macon County Health Dept Pat 1St CM
• Macon County Health Dept Prev Health Ed
• Macon County Health Dept Pri Care
• Macon County Health Dept STD
• Macon County Health Dept VFC Immun
• Magnolia Haven Nursing Home, LLC (Tuskegee Rehabilitation Clinic)
• Victoria Marriott, RD, LD
• Joi Carmel Marsh, LMSW
• Fazle Matin, MD
• Maxwell Alternative Residential Services, Inc.

• Skilled Nursing Facility in Tuskegee, AL
• Providers in Tuskegee, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.