Magnolia Place LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA PLACE LLC

Practice address

1330 SW 7TH St
Boca Raton, FL 33486-8465

Phone

(501) 773-0234

Fax

(501) 679-5575

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Scarlett Griffin

Title

Director of Billing

Phone

(501) 773-0234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1922411370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SW 7TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 7TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868465",
            "telephone_number": "501-773-0234",
            "fax_number": "501-679-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SCARLETT",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "501-773-0234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Magazine
• Magic Horizon Pediatric Therapy LLC
• Joan Torgersen Magill, PSYD
• Sandra D Magliacani-Shern, LMHC
• John Robert Magnacca, DDS
• Ma. Soledad B. Magpantay, OTR/L
• Matthew Christopher Maguire
• Melanie Marie Mahady, M.S.
• Ravinder S Mahal, M.D.
• Ann Mahan, A.P.N.

• Community/Behavioral Health Agency in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.