MAGNOLIA HOME CARE, INC. (NPI# 1497036701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497036701 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA HOME CARE, INC. |
| Practice Address |
918 Ninth Ave Cleveland MS 38732-3638 |
| Practice Telephone | 6627198491 |
| Mailing Telephone | 6627198491 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | KAREN BARR (OWNER) |
| Authorized Official Telephone | 6627198491 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770590 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MAGNOLIA HOME CARE, INC. | 3223 12th Ave W, Seattle, WA 98119-1722 |
| Street Address |
918 NINTH AVE |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405855 | Mikayla Gaiter | Homemaker | 4488 Brooks Rd, Cleveland, OH 44105-6051 | 2020-10-21 |
| 1396343752 | Chauncey Lang | Homemaker | 3090 #10 Livingston Ave, Cleveland, OH 44120 | 2020-10-16 |
| 1295342780 | Iris D Johnston | Homemaker | 4387 E 141st St, Cleveland, OH 44128-2352 | 2020-09-28 |
| 1497362131 | Adrian Patterson-way | Homemaker | 3345 W 48th St, Cleveland, OH 44102-5935 | 2020-09-27 |
| 1326655044 | Debra Stepanik | Homemaker | 14009 Indian Creek Dr, Cleveland, OH 44130-6853 | 2020-09-27 |
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1407462682 | Sheila Brown | Homemaker | 4211 Woburn Ave # Up, Cleveland, OH 44109-3859 | 2020-09-22 |
| 1174139786 | Dominiuqe Nicole Gordon | Homemaker | 2029 E 40th St Apt B-2, Cleveland, OH 44103-4364 | 2020-09-18 |
| 1821603416 | Cynthia Shakir | Homemaker | 11802 Thornwood Ave, Cleveland, OH 44108-3812 | 2020-09-10 |
| 1730794512 | Kimberly Lynn Brickers | Homemaker | 12348 Saywell Ave, Cleveland, OH 44108-3841 | 2020-09-09 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MAGNOLIA HOME CARE, INC..
| 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.