Magnolia Grace Care Management, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

MAGNOLIA GRACE CARE MANAGEMENT, LLC

Practice address

8459 Cross Point Dr
Olive Branch, MS 38654-4390

Phone

(661) 510-4493

NPI assigned

Sep 12, 2017

Last updated

Sep 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charity Thomas, BSN, RN

Title

Ceo

Phone

(662) 510-4933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1952820755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8459 CROSS POINT DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544390",
            "telephone_number": "662-510-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8459 CROSS POINT DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544390",
            "telephone_number": "661-510-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA GRACE CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-510-4933",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.