Magnolia Living Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0144 Issued in NC

Legal business name

MAGNOLIA LIVING CENTER, LLC

Practice address

201 N Ellis Ave
Dunn, NC 28334-3806

Phone

(910) 892-4021

Fax

(910) 892-2965

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John F. Swift

Title

VP & Cfo

Phone

(864) 269-3725

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1760409858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GRACE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296409088",
            "telephone_number": "864-269-3725",
            "fax_number": "864-295-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ELLIS AVE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283343806",
            "telephone_number": "910-892-4021",
            "fax_number": "910-892-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "864-269-3725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415173",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426125",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416125",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Mann Lovvorn, FNP-C
• Rylee Lowrance, PA-C
• Ashley Lowry
• Victoria Lowry
• James A Luchansky, OT
• Jose F Mahiquez, PA
• Alberta Maloof, PTA
• David C Mapile, CRNA
• Maple LTC Group, LLC (Cornerstone Nursing and Rehabilitation Center)
• Maple LTC Group, LLC (Cornerstone Nursing and Rehabilitation Center)

• Skilled Nursing Facility in Dunn, NC
• Providers in Dunn, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.