Organization Active NPI

Magnolia Home Health Care, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1386213833
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAGNOLIA HOME HEALTH CARE, LLC
Practice address
4144 Lindell Blvd Ste 407
Saint Louis, MO 63108-2954
Phone
(314) 662-6153
Fax
(314) 733-5202
NPI assigned
Jun 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Joyce R McGee, DONPI 1841869393
Title
Director
Phone
(314) 662-6153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4144 Lindell Blvd Ste 407
Saint Louis, MO 63108-2954

Mailing address

4144 Lindell Blvd Ste 407
Saint Louis, MO 63108-2954
Phone (314) 260-9210

Other identifiers 1

IdentifierTypeStateIssuer
372500000XMedicaidMO

Other names 1

  • Magnolia Home Health Care, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4144 Lindell Blvd
Ste 407
Saint Louis, MO 63108
Phone (314) 662-6153

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1386213833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082954",
            "telephone_number": "314-260-9210",
            "fax_number": "314-260-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD STE 407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082954",
            "telephone_number": "314-662-6153",
            "fax_number": "314-733-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-662-6153",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372500000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Magnolia Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.