Organization Active NPI

Galion Assisted Living

Doing business as Magnolia Terrace

  • Assisted Living Facility
  • Galion, OH
National Provider Identifier
1558508697
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2356R Issued in OH
Legal business name
GALION ASSISTED LIVING
Doing business as
Magnolia Terrace
Practice address
1110 N Market St
Galion, OH 44833-1458
Phone
(419) 462-3900
Fax
(419) 462-3901
NPI assigned
Jan 12, 2009
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mr. Michael Craig Flick
Title
Owner/Managing Partner
Phone
(419) 566-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2356R OH Primary

Addresses

Primary practice location

1110 N Market St
Galion, OH 44833-1458

Mailing address

1110 N Market St
Galion, OH 44833-1458
Phone (419) 462-3900

Other names 1

  • Magnolia Terrace Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2200452Magnolia Terrace Galion LLC1110 N Market St, Galion, OH 44833Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1558508697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N MARKET ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331458",
            "telephone_number": "419-462-3900",
            "fax_number": "419-462-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N MARKET ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331458",
            "telephone_number": "419-462-3900",
            "fax_number": "419-462-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALION ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "FLICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "419-566-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2356R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.