Active NPI
Magnolia Memory Care, Inc.
Doing business as Minds Matter
- Gerontology Occupational Therapist
- Fort Mill, SC
National Provider Identifier
1316789043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- Legal business name
- MAGNOLIA MEMORY CARE, INC.
- Doing business as
- Minds Matter
- Practice address
- 1190 Gold Hill Rd
Fort Mill, SC 29708-8977 - Phone
- (704) 840-2509
- NPI assigned
- Jun 12, 2024
- Last updated
- Dec 9, 2025
- 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
- Susan Bill, RN, CDP
- Title
- Founder, Executive Position
- Phone
- (704) 840-2509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | Primary |
Addresses
Primary practice location
1190 Gold Hill Rd
Fort Mill, SC 29708-8977
Mailing address
2764 Pleasant Road PMB 876
Fort Mill, SC 29708
Phone (704) 840-2509
Other names 1
- Minds Matter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1190 Gold Hill Rd
Fort Mill, SC 29708
Phone (704) 840-2509
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Occupational Therapist
- Tega Cay, SC
- NPI 1902721756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1316789043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 PLEASANT ROAD PMB 876",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29708",
"telephone_number": "704-840-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 GOLD HILL RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088977",
"telephone_number": "704-840-2509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA MEMORY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "BILL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "FOUNDER, EXECUTIVE POSITION",
"authorized_official_telephone_number": "704-840-2509",
"authorized_official_credential": "RN, CDP"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Minds Matter",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.