Alpha Magnolia Garden LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALPHA MAGNOLIA GARDEN LLC

Practice address

930 Hwy. 158 Bus. East
Warrenton, NC 27589

Phone

(919) 819-3882

NPI assigned

Mar 19, 2019

Last updated

Mar 19, 2019By 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

Juliet Okwoshah

Title

Administrator

Phone

(919) 819-3882

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1326507260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 FARINGDON PL STE 2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 HWY. 158 BUS. EAST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "27589",
            "telephone_number": "919-819-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MAGNOLIA GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "OKWOSHAH",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-819-3882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.