Magnolia Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-063-007 Issued in NC

Legal business name

MAGNOLIA GARDENS

Practice address

594 Murray Hill Rd
Southern Pines, NC 28387

Phone

(910) 692-6311

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Deborah Yarbrough

Title

Owner

Phone

(336) 983-7635

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1760677413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 MURRAY HILL RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877016",
            "telephone_number": "910-692-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MURRAY HILL RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-983-7635"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-063-007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "7802822",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rose Lyle
• Frederick H Mabry III, MD
• Jennifer M Mabry, MD
• Kyla Macdonald
• Magnify Beauty LLC
• Makin' Choices, Inc.
• Makin' Choices, Inc.
• Berenice Maldonado, LMT
• Julia Malis, M.D.
• Michael J Maness, MD

• Assisted Living Facility in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.