THE BLUE MAGNOLIA, LLC (NPI# 1538292743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538292743 |
| Entity Type | Organization |
| Organization Name | THE BLUE MAGNOLIA, LLC |
| Practice Address |
829 N Justice St Hendersonville NC 28791-3440 |
| Mailing Address |
Po Box 2102 Hendersonville NC 28793-2102 |
| Practice Telephone | 8288990232 |
| Mailing Telephone | 8288990232 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | BERNARD FREDERIC (MANAGER) |
| Authorized Official Telephone | 8288990232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 3409557 | NC | Agencies |
| N | 253Z00000X | In Home Supportive Care | 3409557 | NC | Agencies |
| N | 385H00000X | Respite Care | 3409557 | NC | Respite Care Facility |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 3408539 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408539 | 05 |
| Street Address |
829 N JUSTICE ST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1891029708 | Sara Brady Fraboni | Pharmacist | 1148 Asheville Highway, Asheville, NC 28791 | 2009-09-24 |
| 1578730362 | Edward Frederick Block Iv | Acupuncturist | 2024 Asheville Hwy, Suite H, Hendersonville, NC 28791 | 2008-05-12 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1184836223 | Fred Hamilton Rindge Iv | Chiropractor | 619 Oakland St, Hendersonville, NC 28791 | 2007-05-03 |
| 1912022989 | Laurel Park Medical Centre Pharmacy | Pharmacist | 1881 Pisgah Dr., Hendersonville, NC 28791 | 2007-03-20 |
| 1538236153 | Elizabeth N Lima | Psychologist | 709 North Justice Street, Suite B, Hendersonville, NC 28791 | 2006-11-29 |
| 1144394123 | Kenneth L Merritt Jr. | Dentist | 687 B Blythe St Ct, Hendersonville, NC 28791 | 2006-11-20 |
| Find all providers in zip 28791 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225162662 | Familytree Alternative Family Services, Inc. | Day Training, Developmentally Disabled Services | 3272 N Bearwallow Rd, Hendersonville, NC 28792-1019 | 2007-03-16 |
| 1104296813 | Devrai Corporation | Day Training, Developmentally Disabled Services | 145 Lake Harbor Dr, Hendersonville, TN 37075-4889 | 2015-10-07 |
| 1861537474 | Plans for Life,llc | Day Training, Developmentally Disabled Services | 119 Twin Springs Rd, Hendersonville, NC 28792-9262 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
Please comment or provide details below to improve the information on THE BLUE MAGNOLIA, LLC.
| 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.