Magnolias Home Health Agency, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAGNOLIAS HOME HEALTH AGENCY, LLC

Practice address

1517 Foppiano Loop
Round Rock, TX 78665-5638

Phone

(912) 272-2991

NPI assigned

May 20, 2020

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latasha Mack

Title

President

Phone

(912) 272-2991

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1649893025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 FOPPIANO LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 FOPPIANO LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655638",
            "telephone_number": "912-272-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIAS HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-272-2991"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leilani Melissa Magdaleno, DO
• Willie B Magdamo Jr., M.D
• Emily Griffin Magee, DMD
• Magella Medical Associates Billing, Inc. (Magella Medical Associates)
• Maya Claire Magie
• Vinita Magoon, D.O., J.D.
• Kaylynn Maguire
• Aarti Mahadeva, O.D.
• Branaven Mahadeva, MD
• Deborah Peck Mahan, RN

• Home Health Agency in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.