Magnolia Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA PERSONAL CARE HOME

Practice address

174 Cliff Mitchell Rd
Picayune, MS 39466-7982

Phone

(601) 798-4007

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By 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

Mr. John J Harrington, MBA

Title

Administrator

Phone

(601) 798-4007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1316177595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CLIFF MITCHELL RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667982",
            "telephone_number": "601-798-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CLIFF MITCHELL RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667982",
            "telephone_number": "601-798-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-798-4007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rachelle Lumpkin-Freeman, FNP-C
• Reta Virginia Lumpkin, CFNP
• Amber Lupo, OTD/S
• Cari Thawn Macdonald, FNP
• Pierre Madere
• Magnolia Urgent Care
• Manna Ministries
• Tracey Michelle Mark-Boston, LCSW
• Brianna Martin, CNA
• Hannah Massengale I, O.D.

• Assisted Living Facility in Picayune, MS
• Providers in Picayune, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.