Magnolia Angels LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAGNOLIA ANGELS LLC

Practice address

9165 Otis Ave Ste 213
Indianapolis, IN 46216-2316

Phone

(317) 995-7282

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Mykeshia Taylor

Title

Administrator

Phone

(317) 995-7282

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Angels LLC Former legal business name

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1407401979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 213",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 213",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162316",
            "telephone_number": "317-995-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MYKESHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-995-7282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Angels LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Magnificat Family Medicine, LLC
• Magnificent Homecare LLC
• Magnolia Angels Adult Day Services, LLC
• Magnolia Angels Healthcare Staffing LLC
• Magnolia Angels Home Care LLC
• Magnolia Angels Nursing Services LLC
• Magnolia Angels Transportation LLC
• Magnolia Care LLC
• Magnolia Health System IX, Inc.
• Phillip Walter Magnone, M.D.

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.