Magnolia Assisted Living and Memory Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA ASSISTED LIVING AND MEMORY CARE LLC

Practice address

2500 Dallas Pkwy Ste 410
Plano, TX 75093-4886

Phone

(940) 783-2760

Fax

(214) 594-7127

NPI assigned

Dec 28, 2022

Last updated

Dec 28, 2022By 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

Karen Qualls, LVN

Title

Chief Operating Officer

Phone

(940) 783-2760

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1902519564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS PKWY STE 410",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934886",
            "telephone_number": "940-783-2760",
            "fax_number": "214-594-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS PKWY STE 410",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934886",
            "telephone_number": "940-783-2760",
            "fax_number": "214-594-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ASSISTED LIVING AND MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "940-783-2760",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen@magnoliacarehomes.com",
            "affiliation": "N",
            "endpointDescription": "karen@magnoliacarehomes.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "karen@magnoliacarehomes.com",
            "address_1": "2500 Dallas Pkwy Ste 410",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750934886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mag One Medical Diagnostic LLC
• Estefania Magallanes, DC
• Diana Victoria Magana
• Jamie Tais Magana
• Halle Jo Magee, PA-C
• Magnum Billing Services
• Sopa Mahaboonpachai, APRN/FNP-C
• Tammy J Mahan, LPC
• Bahareh Mahdavi
• Mahmood R Khan MD PA

• Assisted Living Facility in Plano, TX
• Providers in Plano, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.