Magnolia Respite Care Inc.

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

MAGNOLIA RESPITE CARE INC.

Practice address

8924 Florida Blvd
Baton Rouge, LA 70815-4026

Phone

(225) 928-5080

Fax

(225) 928-5040

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Ethel Comeaux, DIRECTOR

Title

Director

Phone

(225) 928-5080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAGNOLIA RESPITE CARE INC. Former legal business name

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1700912573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154026",
            "telephone_number": "225-928-5080",
            "fax_number": "225-928-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154026",
            "telephone_number": "225-928-5080",
            "fax_number": "225-928-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA RESPITE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "COMEAUX",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-928-5080",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1741230",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA RESPITE CARE INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Magnolia Home Care/Private Duty
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• Magnolia Medical
• Magnolia Medical, LLC
• Magnolia Mental Health Services
• Magnolia Sleep Solutions LLC
• Magnolia Therapy Group, LLC
• Gina Q Magri, LOTR
• Kelsey Maguire, RDN
• Pankajam V Mahadevan, M.D

• Child Intellectual and/or Developmental Disabilities Respite Care in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.