Magnolia Home Care, Inc.

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

MAGNOLIA HOME CARE, INC.

Practice address

918 Ninth Ave
Cleveland, MS 38732-3638

Phone

(662) 719-8491

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Karen Barr, LSW

Title

Owner

Phone

(662) 719-8491

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1497036701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 NINTH AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323638",
            "telephone_number": "662-719-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 NINTH AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323638",
            "telephone_number": "662-719-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-719-8491",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770590",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamesha Lunford
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• Lesley Richards Mancini, M.S., CCC-SLP
• Chrissy M Manning, OD
• Angela Lacey Marquis, PCMHT
• Gary Stewart Mason, PHARM D
• Keila Mayfield, FNP

• Homemaker in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.