NPIMap

Organization Active NPI

Magnolia Medical Staffing, LLC

  • In Home Supportive Care Agency
  • Harvey, LA
National Provider Identifier
1558697912
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LT1454 Issued in LA
Legal business name
MAGNOLIA MEDICAL STAFFING, LLC
Practice address
2440 Paige Janette Dr
Harvey, LA 70058-2137
Phone
(504) 371-1149
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Mr. Roy Eldridge Cooper Jr., CRTTNPI 1568796639
Title
Owner
Phone
(504) 371-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LT1454 LA Primary

Addresses

Primary practice location

2440 Paige Janette Dr
Harvey, LA 70058-2137

Mailing address

2440 Paige Janette Dr
Harvey, LA 70058
Phone (504) 371-1149

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": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1558697912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 PAIGE JANETTE DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-371-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 PAIGE JANETTE DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582137",
            "telephone_number": "504-371-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ELDRIDGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-371-1149",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "LT1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.