Magnolia Health Systems XX , LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

090119141 Issued in IN

Legal business name

MAGNOLIA HEALTH SYSTEMS XX , LLC

Practice address

1034 E Crown Pointe Blvd
Greensburg, IN 47240-7979

Phone

(812) 662-8888

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Stuart Reed

Title

Member

Phone

(317) 818-1240

Specialties & licenses 1

Addresses

Other names 1

• CROWN POINTE SENIOR LIVING Doing business as

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1346476645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE XING",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404353",
            "telephone_number": "317-818-1240",
            "fax_number": "317-818-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 E CROWN POINTE BLVD",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472407979",
            "telephone_number": "812-662-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SYSTEMS XX , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-818-1240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "090119141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN POINTE SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lusk, PA
• Danell Lynette, RBT
• Amanda J Lyttle, RBT
• Kristy Macku, LMHC
• Angela K Madison, LCSW
• Major Hospital
• Amanda Claire Mang, MS, ATC, LAT, CEAS
• Maria Aquilina Darr, M.D., P.C.
• Marion Township Volunteer Fire Department Inc.
• Alexandria Mechelle Marshall, DPM

• Assisted Living Facility in Greensburg, IN
• Providers in Greensburg, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.