Magnolia Care Services LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

MAGNOLIA CARE SERVICES LLC

Practice address

2439 Club Lake Dr
Orange Park, FL 32065-2682

Phone

(904) 625-7304

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shvada Magnolia Taylor, RN

Title

Owner/Administrator

Phone

(904) 625-7304

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1376011825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 CLUB LAKE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652682",
            "telephone_number": "904-625-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 CLUB LAKE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652682",
            "telephone_number": "904-625-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHVADA",
        "authorized_official_middle_name": "MAGNOLIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-625-7304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Maddox
• Dinesh Madhok, M.D.
• Ishaan Kambo Madhok
• Khaled R Magdy, M.D.
• Reuben Kyle Maggard, M.D.
• Magnolia Springs Counseling, LLC
• Jacob Mahan
• Sterling Mahan, H.A.S.
• Ibrahim Magdi Gafar Mahgoub, MD
• Tiffany N Major, APRN

• Adult Companion in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.