Organization Active NPI

Magnolia Village Health Center LLC

  • Alzheimer Center (Dementia Center)
  • Bowling Green, KY
National Provider Identifier
1952018681
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
MAGNOLIA VILLAGE HEALTH CENTER LLC
Practice address
1381 Campbell Lane
Bowling Green, KY 42104
Phone
(270) 843-0587
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Mayer Fischl
Title
Owner/Managing Member
Phone
(718) 757-6399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

1381 Campbell Lane
Bowling Green, KY 42104

Mailing address

300 Provider Court
Richmond, KY 40475

Other names 1

  • Magnolia Village Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409001846 KY Part A Provider - Skilled Nursing Facility 4587002654 Practice locations: Bowling Green, KY

Skilled nursing facility certification: CCN 185435

Legal name
MAGNOLIA VILLAGE HEALTH CENTER LLC
Doing business as
MAGNOLIA VILLAGE NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 19, 1997
Last certification
Jun 26, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Encore Health Partners
Organization structure
LLCProprietary
Enrollment address
1381 Campbell LN
Bowling Green, KY 42104-1049
Nursing home name
MAGNOLIA VILLAGE NURSING AND REHABILITATION CENTER
Affiliated entity
ENCORE HEALTH PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Magnolia Village Nursing and Rehabilitation CenterCCN 185435
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 19, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.6 residents per day on average
Chain
Encore Health Partners12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1060234Magnolia Health Center LLC1381 Campbell Lane, Bowling Green, KY 42104Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

1381 Campbell Ln
Bowling Green, KY 42104
Phone (270) 843-0587

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Encore Investors LLC Organization, Richmond, KY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2024 100%
Mayer Fischel Individual Corporate OfficerCfo Feb 1, 2024 100%
Operational/Managerial ControlCfo Feb 1, 2024 100%
Encore Health Partners 2 LLC Organization, Richmond, KY LLC, Management services company, Consulting firm Operational/Managerial Control Feb 1, 2024 100%
Adp of the SNF Mar 19, 2025
Individual Adp of the SNF Feb 1, 2024
Sarah Zoberman Individual Adp of the SNF Feb 1, 2024
Indirect Ownership Interest Feb 1, 2024 2.5%
David Bloom Individual 5% Or Greater Indirect Ownership InterestNA Feb 1, 2024 5%
Adp of the SNF Feb 1, 2024
Organization, Russellville, KY LLC, Consulting firm Adp of the SNF Mar 19, 2025
Individual Adp of the SNF Feb 1, 2024
Nirav Sheth Individual Adp of the SNF Feb 1, 2024
Individual Adp of the SNF Jan 1, 2024
Eli Grinspan Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2024 15%
Corporate OfficerCeo Feb 1, 2024 100%
Operational/Managerial ControlCeo Feb 1, 2024 100%
Adp of the SNF Feb 1, 2024
David Rubenstein Individual 5% Or Greater Indirect Ownership InterestNA Feb 1, 2024 5%
Adp of the SNF Feb 1, 2024
Individual Adp of the SNF Feb 1, 2024
Ashley Pruitt Individual Operational/Managerial Control Apr 19, 2021
Adp of the SNF Apr 19, 2021
Encore Realty 2 LLC Organization, Richmond, KY LLC Adp of the SNF Feb 1, 2024
Individual Adp of the SNF Jan 1, 2024
Keybank National Association Organization, Cleveland, OH Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Feb 1, 2024 100%
Isaac Grinspan Individual 5% Or Greater Indirect Ownership InterestNA Feb 1, 2024 7.5%
Adp of the SNF Feb 1, 2024
Individual Adp of the SNF Feb 1, 2024
1381 Campbell Land Realty LLC Organization, Richmond, KY LLC Adp of the SNF Feb 1, 2024
Individual Adp of the SNF Feb 1, 2024
Darla Waymon Individual Adp of the SNF Feb 1, 2024
Organization, Richmond, KY LLC Adp of the SNF Mar 19, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1952018681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER COURT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CAMPBELL LANE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42104",
            "telephone_number": "270-843-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA VILLAGE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "FISCHL",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "718-757-6399"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.