Organization Active NPI

Magnolia Center

Doing business as Magnolia Care Center

  • Nursing Facility/Intermediate Care Facility
  • Baton Rouge, LA
National Provider Identifier
1437315561
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
00881103 Issued in LA
Legal business name
MAGNOLIA CENTER
Doing business as
Magnolia Care Center
Practice address
16950 Florida Blvd
Baton Rouge, LA 70819-3803
Phone
(225) 273-7274
Fax
(225) 073-7284
NPI assigned
Jul 29, 2008
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mrs. Ethel Mae Comeaux, NURSE
Title
Director
Phone
(225) 273-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 00881103 LA Primary

Addresses

Primary practice location

16950 Florida Blvd
Baton Rouge, LA 70819-3803

Mailing address

16950 Florida Blvd
Baton Rouge, LA 70819-3803
Phone (225) 273-7274

Other identifiers 1

IdentifierTypeStateIssuer
00881103OtherLANURSING CARE FACILITIES

Other names 1

  • MAGNOLIA CARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

16950 Florida Blvd
Baton Rouge, LA 70819
Phone (225) 273-7274

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1437315561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708193803",
            "telephone_number": "225-273-7274",
            "fax_number": "225-273-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708193803",
            "telephone_number": "225-273-7274",
            "fax_number": "225-073-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "COMEAUX",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-273-7274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "00881103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING CARE FACILITIES",
            "identifier": "00881103",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.