Magnolia Mobile Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAGNOLIA MOBILE HOME CARE LLC

Practice address

300 Front St S Ste 6
Amory, MS 38821-4202

Phone

(662) 315-5612

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By 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

Elaina Ponder, NPNPI 1235783127

Title

Owner

Phone

(662) 315-5612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 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.

• Elaina Ponder, FNP-C

  • Family Nurse Practitioner
  • Amory, MS
  • NPI 1235783127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1689374589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRONT ST S STE 6",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRONT ST S STE 6",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214202",
            "telephone_number": "662-315-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MOBILE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-315-5612",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Carlisle Livingston, M.D.
• Erin Newman Livingston, M.D.
• John Adam Lochridge, PHARM.D.
• Gari Ashli Brooke Lyle, RN
• M. T. McDonald, D. D. S., P. a.
• Main Street Drugs, LLC
• Jerry K Martin Jr., M.D.
• Shelby Maxcy, PHARM D.
• Emily B McCafferty, PT
• Madison McCollum

• In Home Supportive Care Agency in Amory, MS
• Providers in Amory, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.