Magnolia Hospice of the Delta, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MAGNOLIA HOSPICE OF THE DELTA, LLC

Practice address

12120 Colonel Glenn Rd
Suite 10,000
Little Rock, AR 72210-2824

Phone

(870) 540-0727

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Bolton

Title

Director of Compliance

Phone

(870) 540-0727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1659736460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 COLONEL GLENN RD",
            "address_2": "SUITE 10,000",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102824",
            "telephone_number": "870-540-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 COLONEL GLENN RD",
            "address_2": "SUITE 10,000",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102824",
            "telephone_number": "870-540-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOSPICE OF THE DELTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "870-540-0727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic M. Maggio, M.D.
• Renee Carlene Magiera-Planey, PH.D.
• Shelby Maginn
• Megan Christine Magness, RD
• Magnolia Counseling LLC
• Magnolia Recovery Community
• Jennifer Lauren Magnuson, CRNA
• Kristopher Magnuson, MD
• Taniyah Magsby
• Kristel Jan M Magsino, M.D.

• Community Based Hospice Care Agency in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community Based Hospice Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.