MAGNOLIA BLOOMS PCH,LLC (NPI# 1750536819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750536819 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA BLOOMS PCH,LLC |
| Practice Address |
1250 Nicholsville Rd Nw Monroe GA 30656-3469 |
| Practice Telephone | 6784582011 |
| Mailing Telephone | 6784582011 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | MRS. SANDY WAGES BALLARD (OWNER) |
| Authorized Official Telephone | 6784582011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
147-01-013-1 | GA | Ambulatory Health Care Facilities |
| Street Address |
1250 NICHOLSVILLE RD NW |
| City | MONROE |
| State | GA |
| Zip Code | 30656-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679087274 | Misty Sue's Adult Day Health Center LLC | Clinic/Center | 517 Hill St, Monroe, GA 30656-1507 | 2017-11-20 |
| 1285022186 | Frances Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 Oakmont Way, Monroe, GA 30656-2702 | 2014-12-30 |
| 1821492034 | Elizabeth Smith | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1227 Dale Dr, Monroe, GA 30656-3500 | 2014-10-17 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1578733291 | Guldmann Southeast | Durable Medical Equipment & Medical Supplies | 2040 Mount Vernon Rd Nw, Monroe, GA 30656-4360 | 2008-03-10 |
| 1295775955 | Susan Gerald Cook | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-06-08 |
| 1871732040 | Natalie H Grooms | Occupational Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2009-02-11 |
| 1881770949 | Mary Hinch | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-31 |
| 1326120932 | Activekidz and Adult Therapy Services | Physical Therapist | 1045 Old Mill Trce, Monroe, GA 30656-4379 | 2006-10-20 |
| 1730339656 | Sarah Perrie | Speech-Language Pathologist | 2117 Oakridge Ave, Monroe, GA 30656-4569 | 2008-09-28 |
| Find all providers in zip 30656 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
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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.