Magnolia Health Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1093 Issued in AR

Legal business name

MAGNOLIA HEALTH HOLDINGS LLC

Doing business as

Magnolia Health and Rehab

Practice address

2642 N Dudney Rd
Magnolia, AR 71753-4305

Phone

(870) 626-0559

Fax

(870) 234-7168

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAGNOLIA HEALTH AND REHAB Doing business as

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1740654185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 N DUDNEY RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534305",
            "telephone_number": "870-626-0559",
            "fax_number": "870-234-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2642 N DUDNEY RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534305",
            "telephone_number": "870-626-0559",
            "fax_number": "870-234-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211183311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA HEALTH AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Loftin, PTA
• Tolitha Anne Loyd, COTA
• Magnolia Anesthesia Associates Inc
• Magnolia Health and Rehab, LLC
• Magnolia Health Center
• Magnolia Healthcare Center LLC
• Magnolia Healthcare Center LLC Group
• Magnolia Healthcare LLC
• Magnolia Pediatric Clinic, Inc.
• Magnolia Regional Health System Inc

• Skilled Nursing Facility in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.