Organization Active NPI

Magnolia Health System LLC

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1861236150
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAGNOLIA HEALTH SYSTEM LLC
Practice address
1130 E Shaw Ave Ste 104
Fresno, CA 93710-7838
Phone
(559) 406-9838
Fax
(559) 787-8761
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Authorized official

Name
Cinderela Ivory Co Echols, RN, ESQ
Title
Chief Operating Officer
Phone
(559) 406-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1130 E Shaw Ave Ste 104
Fresno, CA 93710-7838

Mailing address

1130 E Shaw Ave Ste 104
Fresno, CA 93710-7838
Phone (559) 406-9838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121000057 CA Part A Provider - Home Health Agency 9537694161 Practice locations: Fresno, CA

Home health agency certification: CCN 758219

Legal name
MAGNOLIA HEALTH SYSTEM LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 4, 2025
Last certification
Nov 25, 2025
Organization structure
LLCProprietary
Incorporated
Jun 14, 2024 in TX
Enrollment address
1130 E Shaw Ave
Ste 104
Fresno, CA 93710-7838

Care Compare: Home health agency

Medicare Care Compare
Listed as
Magnolia Health System LLCCCN 758219
Ownership
-
Certified
Dec 4, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Health System LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2137 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 412-7953

1130 E Shaw Ave
Ste 104
Fresno, CA 93710
Phone (559) 406-9838

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cinderela Echols Individual 5% Or Greater Direct Ownership InterestMember Jun 14, 2024 50%
Corporate OfficerPresident Jun 14, 2024 50%
W-2 Managing EmployeeDir of Patient Care Services Aug 1, 2024 100%
Jonathan Carrigan-Echols Individual 5% Or Greater Direct Ownership InterestManaging Member Jun 14, 2024 50%
Corporate OfficerSecretary and Treasurer Jun 14, 2024 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1861236150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E SHAW AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107838",
            "telephone_number": "559-406-9838",
            "fax_number": "559-787-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E SHAW AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107838",
            "telephone_number": "559-406-9838",
            "fax_number": "559-787-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "CINDERELA IVORY",
        "authorized_official_middle_name": "CO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "559-406-9838",
        "authorized_official_credential": "RN, ESQ"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.