NPIMap

Organization Active NPI

Magna Holdings, LLC

  • Respite Care
  • Tooele, UT
National Provider Identifier
1518397249
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MAGNA HOLDINGS, LLC
Practice address
464 S Main St
Tooele, UT 84074-2748
Phone
(435) 833-0202
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Gavin Fothergill
Title
Owner
Phone
(801) 230-4956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X UT Primary

Addresses

Primary practice location

464 S Main St
Tooele, UT 84074-2748

Mailing address

464 S Main St
Tooele, UT 84074-2748
Phone (801) 230-4956

Other names 1

  • Magnolia House Assisted Living Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1518397249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742748",
            "telephone_number": "801-230-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 S MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742748",
            "telephone_number": "435-833-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "FOTHERGILL",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-230-4956"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia House Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.