NPIMap

Organization Active NPI

Magnolia Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1467162735
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAGNOLIA HEALTH SERVICES LLC
Doing business as
Magnolia Health Services LLC
Practice address
5501 N 19TH Ave Ste 208
Phoenix, AZ 85015-2452
Phone
(602) 341-5434
NPI assigned
Nov 28, 2022
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Ms. Lindsey Hoye
Title
Ceo
Phone
(817) 201-5891

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

5501 N 19TH Ave Ste 208
Phoenix, AZ 85015-2452

Mailing address

5501 N 19TH Ave Ste 208
Phoenix, AZ 85015-2452
Phone (602) 341-5434

Other names 1

  • Magnolia Health Services LLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL N/A Direct
CONNECT URL info@magnoliahealthservices.com Direct

National Provider Directory

National Provider Directory

Locations

14804 N Cave Creek Rd
Ste 108
Phoenix, AZ 85032
Phone (817) 201-5891

5501 N 19th Ave
Ste 208
Phoenix, AZ 85015
Phone (602) 341-5434

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1467162735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152452",
            "telephone_number": "602-341-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 208",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152452",
            "telephone_number": "602-341-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "HOYE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-201-5891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14804 N Cave Creek Rd Ste 108",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850324945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@magnoliahealthservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5501 N 19th Ave Ste 208",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850152452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magnolia Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.