Organization Active NPI

Gentle Magnolia Home Care LLC

  • Home Health Aide
  • Gulfport, MS
National Provider Identifier
1619753043
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GENTLE MAGNOLIA HOME CARE LLC
Practice address
2059 E Pass Rd Unit S15
Gulfport, MS 39507-3761
Phone
(228) 547-9022
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Alishia Williams
Title
Owner
Phone
(228) 547-9022

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

2059 E Pass Rd Unit S15
Gulfport, MS 39507-3761

Mailing address

2059 E Pass Rd Unit S15
Gulfport, MS 39507-3761
Phone (228) 547-9022

National Provider Directory

National Provider Directory

Locations

2059 E Pass Rd
Unit S15
Gulfport, MS 39507
Phone (228) 547-9022

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1619753043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 E PASS RD UNIT S15",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-547-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 E PASS RD UNIT S15",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-547-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE MAGNOLIA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALISHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-547-9022"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.