NPIMap

Organization Active NPI

Blair Street Operating Company, LLC

Doing business as Magnolia Gardens Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Thomasville, NC
National Provider Identifier
1386416147
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BLAIR STREET OPERATING COMPANY, LLC
Doing business as
Magnolia Gardens Center for Nursing and Rehabilitation
Practice address
1028 Blair St
Thomasville, NC 27360-4359
Phone
(336) 472-7771
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Yosef Emanuel
Title
Member
Phone
(917) 745-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1028 Blair St
Thomasville, NC 27360-4359

Mailing address

1028 Blair St
Thomasville, NC 27360-4359
Phone (336) 472-7771

Other names 1

  • Magnolia Gardens Center for Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240909000913 NC Part A Provider - Skilled Nursing Facility 4981144730 Practice locations: Thomasville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386416147. Details of each certification follow.

Skilled nursing facility certification: CCN 345520

Legal name
BLAIR STREET OPERATING COMPANY, LLC
Doing business as
MAGNOLIA GARDENS CENTER FOR NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 2002
Last certification
Jul 11, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Alliance Health Group
Organization structure
LLCProprietary
Incorporated
Oct 18, 2023 in NC
Enrollment address
1028 Blair St
Thomasville, NC 27360-4359
Nursing home name
MAGNOLIA GARDENS CENTER FOR NURSING AND REHABILITATION
Affiliated entity
ALLIANCE HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Gardens Center for Nursing and RehabilitaCCN 345520 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 31, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12097.5 residents per day on average
Chain
Alliance Health Group12 facilities in the chain
Penalties (3 years)
1Fines totaling $16,153

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2112032Blair Street Operating Company, LLC1028 Blair Street #540N, Thomasville, NC 27360Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Alignment Holdco LLC Organization, Greensboro, NC Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Eric Parker Individual Operational/Managerial Control Aug 1, 2024
Coalition Group LLC Organization, Lawrence, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Yosef Emanuel Individual 5% Or Greater Indirect Ownership InterestCeo Aug 1, 2024 100%
Corporate OfficerCeo Aug 1, 2024
Alliance Health Group LLC Organization, Valley Stream, NY LLC, Management services company Operational/Managerial Control Nov 22, 2024

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1386416147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 BLAIR ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604359",
            "telephone_number": "336-472-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 BLAIR ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604359",
            "telephone_number": "336-472-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR STREET OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Gardens Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.