NPIMap

Organization Active NPI

The Magnolia School, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jefferson, LA
National Provider Identifier
1841431210
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
3060 (SIL) Issued in LA
Legal business name
THE MAGNOLIA SCHOOL, INC.
Practice address
100 Central Ave
Jefferson, LA 70121-3402
Phone
(504) 731-1371
Fax
(504) 731-1354
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Mrs. Elizabeth Anne Merida
Title
Dir. of Sil Services
Phone
(504) 731-1371

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 3061 (PCA) LA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 3060 (SIL) LA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 6879 (RESPITE) LA

Addresses

Primary practice location

100 Central Ave
Jefferson, LA 70121-3402

Mailing address

100 Central Ave
Jefferson, LA 70121-3402
Phone (504) 731-1371

Other identifiers 2

IdentifierTypeStateIssuer
1989649OtherLAMEDICAID- SIL
1989631OtherLAMEDICAID- IFS

National Provider Directory

National Provider Directory
Tax ID family
The Magnolia School Inc30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1841431210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213402",
            "telephone_number": "504-731-1371",
            "fax_number": "504-731-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRAL AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701213402",
            "telephone_number": "504-731-1371",
            "fax_number": "504-731-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAGNOLIA SCHOOL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "MERIDA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIR. OF SIL SERVICES",
        "authorized_official_telephone_number": "504-731-1371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "3061   (PCA)",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "3060   (SIL)",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "6879   (RESPITE)",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- SIL",
            "identifier": "1989649",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- IFS",
            "identifier": "1989631",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.