Magnolia Residence Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10242 Issued in FL

Legal business name

MAGNOLIA RESIDENCE INC

Practice address

4838 NW 93Rd Ter
Sunrise, FL 33351-5220

Phone

(954) 748-6996

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Sugrim Seewah

Title

President/Administrator

Phone

(954) 748-6996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1639506298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 NW 93RD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515220",
            "telephone_number": "954-748-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 NW 93RD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515220",
            "telephone_number": "954-748-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SEEWAH",
        "authorized_official_first_name": "SUGRIM",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-748-6996"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mackey
• Krisienalie Marayag Madriaga
• Magella Medical Associates Midwest PC
• Magella Medical Associates of Georgia PC
• Clayton Magenheimer
• Mohd Zubir Magribi
• Savianne Vinton Maharaj, PSYD
• Precious Mahone
• Stephanie Maisonneuve, APRN
• Colette D. Major, MD

• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.