Magdalene House Ministries Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGDALENE HOUSE MINISTRIES INC.

Practice address

609 Woodruff PL
Charlotte, NC 28208-4549

Phone

(910) 594-4860

NPI assigned

Jul 29, 2018

Last updated

Sep 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessika Morgan, CPSS, BA

Title

Director

Phone

(910) 594-4860

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1497233860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WOODRUFF PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084549",
            "telephone_number": "910-594-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WOODRUFF PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084549",
            "telephone_number": "910-594-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDALENE HOUSE MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JESSIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-594-4860",
        "authorized_official_credential": "CPSS, BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020685701",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maeve E. O'Connor MD, PA
• Amy White Maffucci, MSP, CCC-SLP
• Michael Edward Magalski, PT
• Amy Crane Magas, LCSW
• Kristan Magas, MS, OTR
• Magdy Issa LLC
• Brooke Ann Magee, LCSW, LISW-CP
• Christine Magee, OTR/L
• Erin Magee, DC
• Gray Harrison Magee, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.