Magnolia Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MAGNOLIA CARE LLC

Practice address

1415 University Ave
Oxford, MS 38655-4031

Phone

(662) 934-4575

Fax

(662) 214-6087

NPI assigned

Jan 21, 2026

Organization subpart

No

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

Authorized official

Name

Sidney Pride

Title

Owner

Phone

(662) 934-4575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1295694578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554031",
            "telephone_number": "662-934-4575",
            "fax_number": "662-214-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 UNIVERSITY AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554031",
            "telephone_number": "662-934-4575",
            "fax_number": "662-214-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-934-4575"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Mackie, CFNP
• Melody Madaris, MRC, CRC
• Jerry M Madden, M.ED. LPC
• Michael Jeffery Magee II, MD
• Reginald E Magee Jr., LMSW
• Magnolia Hospice Care LLC
• Anna Davis Mahaffey
• John David Maharrey, CRNA
• Warren Blake Maharrey, DMD
• Jennifer Austin Main, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oxford, MS
• Providers in Oxford, MS by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.