Organization Active NPI

Magnolia Memory Care, Inc.

Doing business as Minds Matter

  • Gerontology Occupational Therapist
  • Fort Mill, SC
National Provider Identifier
1316789043
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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)CodeLicenseStatePrimary
Gerontology Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014004159 SC Part B Supplier - Clinic/Group Practice 4082146170 Receives reassigned benefits from 1 practitioner
Practice locations: Tega Cay, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.