NPIMap

Organization Active NPI

Magnolia Home Care/PDN

  • In Home Supportive Care Agency
  • Baton Rouge, LA
National Provider Identifier
1669606463
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PCA15162 Issued in LA
Legal business name
MAGNOLIA HOME CARE/PDN
Practice address
11832 Newcastle Ave
Suite 1
Baton Rouge, LA 70816-8997
Phone
(225) 268-0398
NPI assigned
May 7, 2009
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Lanora Fay Mills, RN
Title
Owner/Progran Director
Phone
(225) 268-0398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PCA15162 LA Primary

Addresses

Primary practice location

11832 Newcastle Ave
Suite 1
Baton Rouge, LA 70816-8997

Mailing address

12073 W England Ave
Baton Rouge, LA 70814-7742
Phone (225) 268-0398

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Home Carepdn3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11832 Newcastle Ave
Ste 1
Baton Rouge, LA 70816
Phone (225) 268-0398

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1669606463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12073 W ENGLAND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708147742",
            "telephone_number": "225-268-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 NEWCASTLE AVE",
            "address_2": "SUITE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168997",
            "telephone_number": "225-268-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME CARE/PDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "LANORA",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "OWNER/PROGRAN DIRECTOR",
        "authorized_official_telephone_number": "225-268-0398",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "PCA15162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.