NPIMap

Organization Active NPI

Magnolia Gardens Assisted Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Laurel, MS
National Provider Identifier
1336331685
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
898 Issued in MS
Legal business name
MAGNOLIA GARDENS ASSISTED LIVING
Practice address
945 West Dr
Laurel, MS 39440-4703
Phone
(601) 649-6660
Fax
(601) 428-4685
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mrs. Deborah Darlene Steverson, LPN
Title
Owner/Administrator
Phone
(601) 649-6660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 898 MS Primary
Private Vehicle 347C00000X 898 MS
Respite Care 385H00000X 898 MS

Addresses

Primary practice location

945 West Dr
Laurel, MS 39440-4703

Mailing address

945 West Dr
Laurel, MS 39440-4703
Phone (601) 649-6660

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Gardens Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1336331685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 WEST DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404703",
            "telephone_number": "601-649-6660",
            "fax_number": "601-428-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WEST DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404703",
            "telephone_number": "601-649-6660",
            "fax_number": "601-428-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA GARDENS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "STEVERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "601-649-6660",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MS",
            "license": "898",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MS",
            "license": "898",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.