Magnolia Health Group LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAGNOLIA HEALTH GROUP LLC

Practice address

1544 Route 61 Hwy S Ste 6140
Pottsville, PA 17901-4208

Phone

(570) 990-5572

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Michael Somers

Title

Owner

Phone

(570) 900-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1942921788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 PATTON DR",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179611619",
            "telephone_number": "570-294-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 ROUTE 61 HWY S STE 6140",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179014208",
            "telephone_number": "570-990-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-900-5572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104085116",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmiller@magnoliahealthgroup.org",
            "affiliation": "N",
            "address_1": "1544 Route 61 Hwy S Ste 6140",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179014208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csmiller@magnoliahealthgroup.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1544 Route 61 Hwy S Ste 6140",
            "city": "Pottsville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "179014208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Franco Madaffari, P.T.
• Kayla Maddy
• Joab Zephaniah Magara, FNP, CRNP
• Pauline Olendo Magara, PMHNP-BC
• William Robert Magdeburg Jr., PT
• Mahendra M Pujara
• Marisa Marie Maige, PTA
• Tara Majors, MS
• Ann Valerie Malantic-Lin, MD
• Carol A Malarkey, CRNA

• Home Health Agency in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.