Magnolia Sitters, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAGNOLIA SITTERS, LLC

Practice address

4754 Dubarry LN
Jackson, MS 39209-4929

Phone

(601) 208-0915

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Sanedra PeguesNPI 1689151789

Title

Owner

Phone

(601) 460-9038

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanedra Pegues

  • In Home Supportive Care Agency
  • Jackson, MS
  • NPI 1689151789
  NPD (past) Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1861979866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 DUBARRY LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094929",
            "telephone_number": "601-208-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 DUBARRY LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094929",
            "telephone_number": "601-208-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SITTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "PEGUES",
        "authorized_official_first_name": "SANEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-460-9038"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Medical Foundation
• Magnolia Medical Group P a
• Magnolia Nursing Center LLC
• Magnolia Pines Elderly Care Services
• Magnolia Senior Care LLC
• Magnolia Speech School
• Magnolia Woman'S Clinic, P.a.
• Martha Magnuson, MD
• Justin Temple Mahaney, M.D.
• Lisa Vernino Maher, MD

• In Home Supportive Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.