Pelican Health Thomasville LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PELICAN HEALTH THOMASVILLE LLC

Doing business as

Magnolia Gardens Center for Nursing and Rehabilitation

Practice address

1028 Blair St # 540N
Thomasville, NC 27360-4359

Phone

(336) 472-7771

NPI assigned

Sep 17, 2019

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

VP of Admin Services

Phone

(336) 472-7771

Specialties & licenses 2

Addresses

Other names 1

• Magnolia Gardens Center for Nursing and Rehabilitation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Marie Dolack, DO

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1154424661
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1851941389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 240",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 BLAIR ST # 540N",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604359",
            "telephone_number": "336-472-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HEALTH THOMASVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "VP OF ADMIN SERVICES",
        "authorized_official_telephone_number": "336-472-7771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Gardens Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Jones Palmer, CPNP-PC
• Alayna Parker
• Alice Jean Parker, RN, FNP-C
• Rutu Patel, OD
• Peace Path Therapeutic & Educational Services (Terri Pickett Counseling)
• Keith Edwin Penner, CRNA
• Mary Perdue
• Bethany Faith Perry
• Michaela Lynn Pesta, PA-C
• Winnie Ngoc Pham, DMD

• Skilled Nursing Facility in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.