Magdalena Afh, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MAGDALENA AFH, LLC

Practice address

1207 N Quebec St
Kennewick, WA 99336-8131

Phone

(509) 713-0222

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

Sarah O'Brien, RN

Title

Resident Manager

Phone

(509) 440-1322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1811609282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N QUEBEC ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368131",
            "telephone_number": "509-713-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N QUEBEC ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368131",
            "telephone_number": "509-713-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDALENA AFH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "RESIDENT MANAGER",
        "authorized_official_telephone_number": "509-440-1322",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Nichole Madrigal, NP
• Luis Madrigal
• Otilia M Madrigal
• Madsen, Maxfield, Karlson, Clements, McManamon, PLLC
• Jazmen Marie Magana
• Magdalena Place Afh LLC
• Rongie Bren Songco Magdangal, PT
• Stanton Magid
• Tyler Magid
• Priya Mahal

• Adult Care Home Facility in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.