Magnolia Health Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MAGNOLIA HEALTH SERVICES LLC

Practice address

4055 Brushymill CT
Loganville, GA 30052-8728

Phone

(770) 873-3163

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Bridgette Persha' Taylor

Title

Administrator

Phone

(770) 873-3163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1629402797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 BRUSHYMILL CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528728",
            "telephone_number": "770-873-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 BRUSHYMILL CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528728",
            "telephone_number": "770-873-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_middle_name": "PERSHA'",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-873-3163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawanda L Madden-Jones, RN
• Briana Marie Maddix
• Mickyle Maddix
• Trenton Maddox, PT, DPT
• Melissa Merrill Magill, MD
• Magualie J. Woollery, D.M.D., P.C.
• Heather Mahoney, PHARMD
• Aneeq Ahmed Malik, PA-C
• Lauriel Malone
• Rajeive Antwan Manradgh, LAPC, NCC

• Nursing Care Agency in Loganville, GA
• Providers in Loganville, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.