Magnolia Health Systems 57, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA HEALTH SYSTEMS 57, LLC

Doing business as

Grand Valley Assisted Living Facility

Practice address

1151 Hubert Cir W
Martinsville, IN 46151-5877

Phone

(765) 558-8200

Fax

(765) 558-8201

NPI assigned

Aug 16, 2019

Last updated

Jul 9, 2024By 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

Stuart B Reed

Title

Owner/President

Phone

(317) 818-1240

Specialties & licenses 1

Addresses

Other names 1

• Grand Valley Assisted Living Facility Doing business as

Locations

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1851947634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 KEYSTONE XING",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404353",
            "telephone_number": "317-818-1240",
            "fax_number": "317-818-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HUBERT CIR W",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515877",
            "telephone_number": "765-558-8200",
            "fax_number": "765-558-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SYSTEMS 57, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "317-818-1240"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Valley Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Valley Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Martinsville, IN
• Providers in Martinsville, 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 Jul 9, 2024; 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.