Magnolia Health Systems 41, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

120003091 Issued in IN

Legal business name

MAGNOLIA HEALTH SYSTEMS 41, LLC

Doing business as

CROWNPOINTE OF CARMEL

Practice address

11610 Technology Dr
Carmel, IN 46032-5600

Phone

(317) 818-1786

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Stuart B Reed

Title

President

Phone

(317) 818-1240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CROWNPOINTE OF CARMEL Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1376896258",
    "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": "11610 TECHNOLOGY DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325600",
            "telephone_number": "317-818-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SYSTEMS 41, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-818-1240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "120003091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200928160C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWNPOINTE OF CARMEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily A Madison, FNP
• Zeba Madni, MD
• Jackie Lynn Magdich
• Roberta Charlene Magee, PTA
• Kristiann Maggard
• Lauren Magri, LMHCA
• Priti Rana Mahajan, DMD
• Denise Mahan, PTA
• Jamie Peyton Mahan, MA, CF-SLP
• George Peter Maiers II, M.D.

• Assisted Living Facility in Carmel, IN
• Providers in Carmel, 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.
• 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.