Magnolia Cottage Care, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

FCL-052-004 Issued in NC

Legal business name

MAGNOLIA COTTAGE CARE, LLC

Practice address

5643 Hwy 70
Dover, NC 28526-8872

Phone

(252) 523-3297

Fax

(252) 520-0163

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 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

Ms. Sherry Griffin, S,W.

Title

Administrator

Phone

(252) 523-3297

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• April Wilkins Davidson

  • Nursing Home Administrator
  • Dover, NC
  • NPI 1336982909
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669590709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 HWY 70",
            "city": "DOVER",
            "state": "NC",
            "postal_code": "285268872",
            "telephone_number": "252-523-3297",
            "fax_number": "252-520-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 HWY 70",
            "city": "DOVER",
            "state": "NC",
            "postal_code": "285268872",
            "telephone_number": "252-523-3297",
            "fax_number": "252-520-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COTTAGE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-523-3297",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "S,W."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "FCL-052-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804935",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Valley Care Inc
• Samantha Joanne Criste, NP
• April Wilkins Davidson
• Deanne Lee Holliday, RN
• Emoni Mills
• Morcom Medical Consultants, PLLC
• Murrell Social Services Network-NC
• Paradigm, Inc.
• Primeway Business Services LLC

• Adult Care Home Facility in Dover, NC
• Providers in Dover, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.