NPIMap

Organization Active NPI

Magnolia Regional Health System Inc

  • Home Health Agency
  • Magnolia, AR
National Provider Identifier
1336760362
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Practice address
103 Hospital Drive
Magnolia, AR 71753-2433
Phone
(870) 235-3598
NPI assigned
Apr 30, 2020
Organization subpart
Yes
Parent organization
MAGNOLIA REGIONAL HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mr. Wiliam D Giles
Title
Chief Executive Officer
Phone
(870) 235-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

103 Hospital Drive
Magnolia, AR 71753-2433

Mailing address

PO Box 629
Magnolia, AR 71754-0629
Phone (870) 235-3212

Other names 1

  • Magnolia Home Health Agency Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902000560 AR Part A Provider - Home Health Agency 2668899899 Practice locations: Magnolia, AR

Home health agency certification: CCN 047081

Legal name
MAGNOLIA REGIONAL HEALTH SYSTEM INC
Doing business as
MAGNOLIA HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 24, 1984
Last certification
Sep 3, 2020
Ownership / control type
Government Operated
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 2020 in AR
Enrollment address
103 Hospital Dr
Magnolia, AR 71753-2415
HHA Branch

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Magnolia Home Health AgencyCCN 047081
Overall star rating
2 of 5
Ownership
Government Operated
Certified
Jan 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Regional HLTH Syst5 organizations share this tax ID, including this one
Part of
Magnolia Regional HLTH Syst

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Walter Wood Individual Corporate Director Oct 1, 2020
WD Giles Individual Corporate DirectorChief Executive Officer Jul 14, 2025
Stephanie Schmittou Individual Corporate DirectorChief Operating Officer Jul 21, 2025
W-2 Managing EmployeeChief Operating Officer Jul 21, 2025
Jonathan Baird Individual Corporate Director Oct 1, 2020
Karen Weido Individual W-2 Managing Employee Oct 1, 2020
Jeffery B Whitener Individual Corporate Director Mar 1, 2023
Todd Emmert Individual Corporate Director Oct 1, 2020
John E Alexander Individual Corporate Director Oct 1, 2020
Angie Eaves Individual Corporate Director Oct 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Magnolia Regional Medical CenterMagnolia, AR, CCN 041336 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020
Magnolia Regional Health System IncMagnolia, AR, CCN 048519 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the buyer Magnolia Hospital Home Health AgencyCCN 047081, AR, NPI 1093736753

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1336760362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540629",
            "telephone_number": "870-235-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HOSPITAL DRIVE",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532433",
            "telephone_number": "870-235-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAGNOLIA REGIONAL HEALTH SYSTEM INC",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "WILIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-235-3208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Home Health Agency",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Magnolia Home Health Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.