Organization Active NPI

Magnolia Legacy

  • Non-emergency Medical Transport (VAN)
  • Fort Wayne, IN
National Provider Identifier
1730016825
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MAGNOLIA LEGACY
Practice address
2737 W Washington Center Rd Lot 13
Fort Wayne, IN 46818-1489
Phone
(985) 352-4215
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Allysha MarshallNPI 1053257493
Title
Owner
Phone
(985) 352-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2737 W Washington Center Rd Lot 13
Fort Wayne, IN 46818-1489

Mailing address

2737 W Washington Center Rd Lot 13
Fort Wayne, IN 46818-1489
Phone (985) 352-4215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1730016825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W WASHINGTON CENTER RD LOT 13",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181489",
            "telephone_number": "985-352-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W WASHINGTON CENTER RD LOT 13",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181489",
            "telephone_number": "985-352-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ALLYSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-352-4215"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.