Organization Active NPI

Sweet Magnolia Senior Care LLC

  • In Home Supportive Care Agency
  • Heidelberg, MS
National Provider Identifier
1497642391
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SWEET MAGNOLIA SENIOR CARE LLC
Practice address
127 County Road 52830
Heidelberg, MS 39439-3520
Phone
(601) 480-4987
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Monica Jordan
Title
Owner, President
Phone
(601) 480-4987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

127 County Road 52830
Heidelberg, MS 39439-3520

Mailing address

127 County Road 52830
Heidelberg, MS 39439-3520
Phone (601) 480-4987

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1497642391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COUNTY ROAD 52830",
            "city": "HEIDELBERG",
            "state": "MS",
            "postal_code": "394393520",
            "telephone_number": "601-480-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COUNTY ROAD 52830",
            "city": "HEIDELBERG",
            "state": "MS",
            "postal_code": "394393520",
            "telephone_number": "601-480-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MAGNOLIA SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "601-480-4987"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heidelberg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.