Magnolia Care Services, LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

MAGNOLIA CARE SERVICES, LLC

Practice address

10140 Salix Cir
Anchorage, AK 99507-4138

Phone

(907) 315-4858

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Khaliah Waugh

Title

Admin

Phone

(907) 315-4858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1942074299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 SALIX CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 SALIX CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995074138",
            "telephone_number": "907-315-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "KHALIAH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "907-315-4858"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gutierrez Magana
• Jazebel Magarin
• Heather Magee
• Rosa Linda Magee
• Maggie Assisted Living Home, LLC
• Nichole Magnus, OTR/L
• Katherine M Magnuson, M.D.
• William Jared Magnuson, M.D.
• Nancy H Magrath, R.N., ANP
• Matthew J Magruder, MD

• Day Training/Habilitation Specialist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Day Training/Habilitation Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.