Magnolia Health System IX, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

080118401 Issued in IN

Legal business name

MAGNOLIA HEALTH SYSTEM IX, INC.

Doing business as

Summit Place West

Practice address

55 Mission Dr
Indianapolis, IN 46214-5907

Phone

(317) 244-2600

Fax

(317) 244-3771

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Dean Paino

Title

Administrator

Phone

(317) 244-2600

Specialties & licenses 1

Addresses

Other names 1

• Summit Place West Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1831335637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403805",
            "telephone_number": "317-818-1240",
            "fax_number": "317-818-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MISSION DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462145907",
            "telephone_number": "317-244-2600",
            "fax_number": "317-244-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SYSTEM IX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "PAINO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-244-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "080118401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Place West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Angels Home Care LLC
• Magnolia Angels LLC
• Magnolia Angels Nursing Services LLC
• Magnolia Angels Transportation LLC
• Magnolia Care LLC
• Phillip Walter Magnone, M.D.
• Magnus Dentistry, LLC
• Claudine Magnus, PSY.D.
• Julie Lynne Magnus, D.D.S
• Keith Magnus, PH.D.

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.