NPIMap

Organization Active NPI

Magnolia Community Services, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Jefferson, LA
National Provider Identifier
1700324084
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MAGNOLIA COMMUNITY SERVICES, INC
Practice address
821 Jefferson Heights Ave.
Jefferson, LA 70121
Phone
(504) 731-1359
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Wendy Berniard
Title
Director of Operations
Phone
(504) 731-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

821 Jefferson Heights Ave.
Jefferson, LA 70121

Mailing address

100 Central Ave
Jefferson, LA 70121-3402
Phone (504) 733-2874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G799

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Magnolia 821 Jefferson Heights
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 10, 2017
Last certification
Feb 12, 2026
Beds
8
Ownership / control type
Private (non-profit)
Facility address
821 Jefferson Heights Ave.
Jefferson, LA 70121

National Provider Directory

National Provider Directory
Tax ID family
The Magnolia School Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

821 Jefferson Heights Ave
Jefferson, LA 70121
Phone (504) 731-1359

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1700324084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213402",
            "telephone_number": "504-733-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 JEFFERSON HEIGHTS AVE.",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-731-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "BERNIARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "504-731-1359"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.