MAGNOLIA HOSPICE OF THE DELTA, LLC (NPI# 1659736460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659736460 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA HOSPICE OF THE DELTA, LLC |
| Practice Address |
12120 Colonel Glenn Rd Suite 10,000 Little Rock AR 72210-2824 |
| Practice Telephone | 8705400727 |
| Mailing Telephone | 8705400727 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | MRS. ERIN BOLTON (DIRECTOR OF COMPLIANCE) |
| Authorized Official Telephone | 8705400727 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
12120 COLONEL GLENN RD SUITE 10,000 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594416 | American Homepatient, Inc. | Pharmacy | 12120 Colonel Glenn Rd, Ste. 4000, Little Rock, AR 72210-2836 | 2005-08-04 |
| 1790159358 | Magnolia Hospice, LLC | Hospice Care, Community Based | 12120 Colonel Glenn Rd, Suite 10000, Little Rock, AR 72210-2824 | 2015-11-19 |
| 1942626619 | Jill Thomas | Nurse Practitioner | 12120 Colonel Glenn Rd, Little Rock, AR 72210 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306984364 | Hospice Home Care, Inc. | Hospice Care, Community Based | 2200 South Bowman Road, Little Rock, AR 72211-4136 | 2007-02-02 |
| 1164526554 | Baptist Health | Hospice Care, Community Based | 11900 Colonel Glenn Rd, Suite 2000, Little Rock, AR 72210-2820 | 2006-09-07 |
| 1750382750 | Odyssey Healthcare Operating A Lp | Hospice Care, Community Based | 10800 Financial Centre Parkway, Suite 380, Little Rock, AR 72211-3508 | 2005-08-02 |
| 1790159358 | Magnolia Hospice, LLC | Hospice Care, Community Based | 12120 Colonel Glenn Rd, Suite 10000, Little Rock, AR 72210-2824 | 2015-11-19 |
| 1457515009 | Arkansas Hospice, Inc. | Hospice Care, Community Based | 5600 W 12th St, Little Rock, AR 72204-1717 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457181 | Heart of Hospice LLC | Hospice Care, Community Based | 1401 S Waldron Rd Ste 201, Fort Smith, AR 72903-2590 | 2018-08-15 |
| 1144735192 | Next Page Family Support Services | Hospice Care, Community Based | 204 N Haley Ave # B, Camden, AR 71701-7172 | 2017-12-12 |
| 1649726464 | Encompass Home Health of East Texas, LLC | Hospice Care, Community Based | 3809 E 9th St Ste 10, Texarkana, AR 71854-5805 | 2016-08-31 |
| 1710339825 | Kah Development 4, LLC | Hospice Care, Community Based | 235 Garden Oaks Dr Sw Ste 235, Camden, AR 71701-3733 | 2016-07-13 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1003266040 | Kah Development 4, LLC | Hospice Care, Community Based | 210 N State Line Ave Ste 502, Texarkana, AR 71854-5912 | 2016-06-21 |
| 1245688050 | Hospice of Southern Arkansas | Hospice Care, Community Based | 640 Oakland Avenue, Helena, AR 72342-1504 | 2016-06-02 |
| 1841647997 | Hospice of Southern Arkansas LLC | Hospice Care, Community Based | 2620 W 28th Ave, Pine Bluff, AR 71603-4917 | 2016-05-18 |
| 1578917761 | Lhcg Lxxxiii, LLC | Hospice Care, Community Based | 3109 E Moore Ave Ste 2, Searcy, AR 72143-4825 | 2016-04-14 |
| 1235471269 | Nea Hospice, LLC | Hospice Care, Community Based | 403 S Poplar St Ste F, Searcy, AR 72143-6000 | 2013-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72210 |
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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.