Magnolia Estates, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNOLIA ESTATES, LLC

Doing business as

Magnolia Estates

Practice address

1511 Dulles Dr
Lafayette, LA 70506-3718

Phone

(337) 216-0950

Fax

(337) 216-0992

NPI assigned

Nov 6, 2012

Last updated

Nov 6, 2012By 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

Nicole Howard

Title

C.F.O. / C.O.O.

Phone

(318) 641-3717

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Estates Doing business as

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1548514094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713603828",
            "telephone_number": "318-445-6470",
            "fax_number": "318-641-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-216-0950",
            "fax_number": "337-216-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "C.F.O. / C.O.O.",
        "authorized_official_telephone_number": "318-641-3717"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Blair Mader, LCSW-BACS
• Banee Madison, P.A
• Carlecia S Madison
• Monica Mae, PMHNP-BC
• Gina L Maestri, DDS, APDC
• Magnolia Medical, LLC
• Magnolia Movement PT and Wellness
• Magnolia's Home Care LLC
• Magnolia's Home Care LLC
• Magnolia's Home Care LLC

• Skilled Nursing Facility in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.