Magnolia Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA RESIDENTIAL CARE

Doing business as

Magnolia Residential Care

Practice address

3813 Maverick St
Las Vegas, NV 89108-5126

Phone

(702) 912-9930

Fax

(725) 205-4501

NPI assigned

Jul 18, 2023

Last updated

Jul 28, 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

Mrs. Sonia RogelNPI 1760167704

Title

Owner

Phone

(702) 912-9930

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Residential Care Doing business as

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.

• Sonia Rogel

  • Assisted Living Facility
  • Las Vegas, NV
  • NPI 1760167704
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1861172512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085126",
            "telephone_number": "702-912-9930",
            "fax_number": "725-205-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 MAVERICK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891085126",
            "telephone_number": "702-912-9930",
            "fax_number": "725-205-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ROGEL",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-912-9930",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph D Magno
• Joyce Anne Ortiz Magno
• Loida D Magno
• Magnolia Care Hospice, LLC
• Magnolia Care Hospice, LLC
• Magnolia's Heart Incorporated LLC
• Warren W Magnus, D.O.
• Angela Magnusson
• Sikisam Magoyag, MD
• Elizabeth Anne Littman Magpantay

• Assisted Living Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.