MAGNOLIA ANGELS HOME CARE LLC (NPI# 1184237927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184237927 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA ANGELS HOME CARE LLC |
| Practice Address |
635 E 106th St Indianapolis IN 46280-1329 |
| Practice Telephone | 3172208499 |
| Mailing Telephone | 3172208499 |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |
| Authorized Official Name | MYKESHIA TAYLOR (ADMINISTRATOR) |
| Authorized Official Telephone | 3176888204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Magnolia Angels Home Care LLC | Former Legal Business Name - Organization |
| Street Address |
635 E 106TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904098 | Mykeshia Taylor | Homemaker | 635 E 106th St, Indianapolis, IN 46280-1329 | 2020-08-27 |
| 1629681465 | Magnolia Angels Transportation LLC | Secured Medical Transport (VAN) | 635 E 106th St, Indianapolis, IN 46280-1329 | 2020-08-30 |
| 1558974394 | Magnolia Angels Nursing Services LLC | Home Health | 635 E 106th St, Indianapolis, IN 46280-1329 | 2020-08-30 |
| 1174136915 | Magnolia Angels Healthcare Staffing LLC | Assisted Living Facility | 635 E 106th St, Indianapolis, IN 46280-1329 | 2020-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821570 | Paige Homecare LLC | In Home Supportive Care | 4806 E 30th St Ste B, Indianapolis, IN 46218-3110 | 2020-11-03 |
| 1083215305 | Mercy Services, LLC | In Home Supportive Care | 3960 Southeastern Ave Ste 113, Indianapolis, IN 46203-1571 | 2020-11-03 |
| 1790392132 | Trusted Care Partners, LLC | In Home Supportive Care | 120 E Market St Ste 908, Indianapolis, IN 46204-3265 | 2020-09-29 |
| 1902422454 | Caring Partners of Central Indiana LLC Dba Amada Senior Care of Centra | In Home Supportive Care | 8444 Castlewood Dr Ste 500, Indianapolis, IN 46250-5535 | 2020-06-21 |
| 1780205252 | Grace Homecare LLC | In Home Supportive Care | 202 Crosby Dr, Indianapolis, IN 46227-2806 | 2020-05-06 |
| 1295364768 | Agape Personal Care Service LLC | In Home Supportive Care | 1848 Ernest Dr, Indianapolis, IN 46234-2359 | 2020-04-06 |
| 1437785185 | Jamika Daulton | In Home Supportive Care | 3519 Mountain Laurel Pl # B, Indianapolis, IN 46205-3349 | 2020-03-13 |
| 1679113955 | Maxxcare Home | In Home Supportive Care | 4463 N Kenmore Rd, Indianapolis, IN 46226-3582 | 2020-01-14 |
| 1437797750 | Riverstone Home Health Services, Inc. | In Home Supportive Care | 6030 S Tacoma Ave, Indianapolis, IN 46227-4728 | 2019-12-17 |
| 1235770835 | A Passionate Helping Hand LLC | In Home Supportive Care | 1040 E 86th St Ste 44-g1040, Indianapolis, IN 46240-1865 | 2019-10-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.