NPIMap

Organization Active NPI

Magnolia Community Services, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jefferson, LA
National Provider Identifier
1841877958
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MAGNOLIA COMMUNITY SERVICES, INC
Practice address
749 St. George Ave
Jefferson, LA 70121
Phone
(504) 731-1306
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Wendy Berniard
Title
Quality Assurance and Compliance Di
Phone
(504) 731-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

749 St. George Ave
Jefferson, LA 70121

Mailing address

100 Central Ave
Jefferson, LA 70121-3402
Phone (504) 731-1359

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1841877958",
    "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": "504-731-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 ST. GEORGE AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-731-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BERNIARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "QUALITY ASSURANCE AND COMPLIANCE DI",
        "authorized_official_telephone_number": "504-731-1359"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 17, 2021; 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.