Organization Active NPI

Magnolia 1 House

  • Adult Care Home Facility
  • Houston, TX
National Provider Identifier
1700418373
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MAGNOLIA 1 HOUSE
Practice address
505 E 38TH St
Houston, TX 77022
Phone
(832) 801-0294
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Frer Bass
Title
President
Phone
(832) 801-0294

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
Health Maintenance Organization 302R00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

505 E 38TH St
Houston, TX 77022

Mailing address

505 E 38TH St
Houston, TX 77022
Phone (832) 801-0294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1700418373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 38TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77022",
            "telephone_number": "832-801-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 38TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77022",
            "telephone_number": "832-801-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA 1 HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "FRER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-801-0294"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.