Magdala Home Health Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAGDALA HOME HEALTH CARE SERVICES, LLC

Practice address

444 Bismark Ave
Saint Louis, MO 63119-1524

Phone

(314) 814-1869

NPI assigned

Apr 2, 2020

Organization subpart

No

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

Authorized official

Name

Mary Magdalene Adou Gbougbo

Title

Owner

Phone

(314) 814-1869

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1396374385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 HIDDEN MEADOW LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217824",
            "telephone_number": "314-814-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 BISMARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191524",
            "telephone_number": "314-814-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 Brandon Park Dr Apt I",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630218129",
            "country_code": "US",
            "telephone_number": "314-814-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGDALA HOME HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "ADOU GBOUGBO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MAGDALENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-814-1869"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdala Foundation
• Magdala Foundation
• Magdala Foundation
• Magdala Foundation
• Magdala Foundation
• Erin Whitney Magee, MSW, LMSW
• Jeffrey Magee, MD
• Kyle Magee, LPC
• Mary Magee, PA-C
• Briana E Mager, CD(DONA), PES

• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.