NPIMap

Organization Active NPI

Magnolia Healthcare LLC

  • Skilled Nursing Facility
  • Magnolia, AR
National Provider Identifier
1811534977
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAGNOLIA HEALTHCARE LLC
Practice address
2642 N Dudney Rd
Magnolia, AR 71753-4305
Phone
(718) 838-1500
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Jacob Taub
Title
Member
Phone
(718) 838-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2642 N Dudney Rd
Magnolia, AR 71753-4305

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434
Phone (718) 838-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121001262 AR Part A Provider - Skilled Nursing Facility 4183059132 Practice locations: Magnolia, AR

Skilled nursing facility certification: CCN 045135

Legal name
MAGNOLIA HEALTHCARE LLC
Doing business as
THE SPRINGS OF MAGNOLIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1989
Last certification
Jun 20, 2024
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Springs of Arkansas
Organization structure
LLCProprietary
Incorporated
Nov 20, 2019 in AR
Enrollment address
2642 North Dudney Road
Magnolia, AR 71753-4305
Nursing home name
THE SPRINGS MAGNOLIA
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs MagnoliaCCN 045135
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14077.2 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Solomon Kurz Individual Adp of the SNF Jan 1, 2020
Magnolia Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jan 1, 2021
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
Clay Walt Ferguson Individual Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jan 1, 2021
White River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Jan 1, 2021
Adp of the SNF Jun 25, 2025
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
Palm Tree HC Arkansas LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jan 1, 2020
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 15%
Helen Hoffman Individual Adp of the SNF Jan 1, 2020
Amanda Love Individual Operational/Managerial Control Sep 16, 2022
Adp of the SNF Sep 16, 2022
Aj-Arp LLC Organization, Lakewood, NJ LLC Adp of the SNF Jan 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1811534977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434",
            "telephone_number": "718-838-1500"
        },
        {
            "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": "718-838-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-838-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.