Magnolia Senior Care of Highline LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MAGNOLIA SENIOR CARE OF HIGHLINE LLC

Practice address

1206 S 244TH St
Des Moines, WA 98198-4986

Phone

(206) 429-2275

Fax

(206) 429-2257

NPI assigned

May 19, 2026

Organization subpart

No

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

Authorized official

Name

Samuel Moges

Title

Provider

Phone

(619) 335-7716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1932038577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13123 SE 230TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980315665",
            "telephone_number": "619-335-7716",
            "fax_number": "206-429-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S 244TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981984986",
            "telephone_number": "206-429-2275",
            "fax_number": "206-429-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SENIOR CARE OF HIGHLINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "MOGES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-335-7716"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Lumbao, COTA
• Justin Daniel Lutz, PHARMD.
• Samuel Makoto Mabee, PTA
• Delores Mack, RN
• Jennifer E Mackenzie, MS, ATC, NREMT-B
• Savannah Maher, NBC-HWC
• Joseph Chabeon Manaway
• Robyn Manaway
• Andrea Lynn Marchel, RD,CD
• Marine View Physical Therapy, Inc

• Adult Care Home Facility in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.