Organization Active NPI

Magnolia Home Health, LLC Dba Home Instead Senior Care

  • In Home Supportive Care Agency
  • Savannah, GA
National Provider Identifier
1891324042
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGNOLIA HOME HEALTH, LLC DBA HOME INSTEAD SENIOR CARE
Practice address
6709 Forest Park Drive, Suite B
Savannah, GA 31406
Phone
(912) 355-0099
Fax
(912) 355-0181
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Shane Thompson
Title
Co-Owner/President
Phone
(904) 502-5990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

6709 Forest Park Drive, Suite B
Savannah, GA 31406

Mailing address

6709 Forest Park Drive, Suite B
Savannah, GA 31406
Phone (912) 355-0099

National Provider Directory

National Provider Directory

Locations

6709 Forest Park Dr
Ste B
Savannah, GA 31406
Phone (912) 355-0099

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1891324042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 FOREST PARK DRIVE, SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-0099",
            "fax_number": "912-355-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 FOREST PARK DRIVE, SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-355-0099",
            "fax_number": "912-355-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH, LLC DBA HOME INSTEAD SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CO-OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-502-5990"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.