Organization Active NPI

Magnolia House Residential Group Home for Children and Adolescents, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chesterfield, VA
National Provider Identifier
1730040585
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MAGNOLIA HOUSE RESIDENTIAL GROUP HOME FOR CHILDREN AND ADOLESCENTS, LLC
Practice address
10100 Summit Rd
Chesterfield, VA 23838-2327
Phone
(804) 393-6400
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Michelle Ann Hixson, RNNPI 1104787167
Title
RN, Owner, Program Director
Phone
(804) 393-6400

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

10100 Summit Rd
Chesterfield, VA 23838-2327

Mailing address

10100 Summit Rd
Chesterfield, VA 23838-2327
Phone (804) 393-6400

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": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1730040585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 SUMMIT RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238382327",
            "telephone_number": "804-393-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 SUMMIT RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238382327",
            "telephone_number": "804-393-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOUSE RESIDENTIAL GROUP HOME FOR CHILDREN AND ADOLESCENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "HIXSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN, OWNER, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-393-6400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.