MAGNOLIA PLACE HEALTH CARE L L P (NPI# 1033114319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033114319 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA PLACE HEALTH CARE L L P |
| Practice Address |
1620 Magnolia St Liberty TX 77575-3546 |
| Mailing Address |
7150 Gantt Access Azle TX 76020-5638 |
| Practice Telephone | 9363368844 |
| Mailing Telephone | 8174442516 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MAURA PANOS (ACCOUNTANT) |
| Authorized Official Telephone | 8174442516 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 112906 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001001772 | 05 |
| Street Address |
1620 MAGNOLIA ST |
| City | LIBERTY |
| State | TX |
| Zip Code | 77575-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856564 | Lenita D Broussard | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2020-09-22 |
| 1326658725 | Dory D Ingram | Speech-Language Pathologist | 1620 Magnolia St, Liberty, TX 77575-3546 | 2020-07-31 |
| 1497379341 | Jennifer Marcell Giles | Speech-Language Pathologist | 1620 Magnolia St, Liberty, TX 77575-3546 | 2020-06-05 |
| 1568005254 | Erica Alexis Collard | Occupational Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-10-24 |
| 1184274649 | Jennifer Landaverde | Occupational Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-09-17 |
| 1235785197 | Noah Manuel Palomino | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-08-15 |
| 1326602038 | Monique Demoine Liburd | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2019-04-28 |
| 1750800355 | Amber Thomas | Occupational Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2017-09-14 |
| 1871969295 | Dawn O'leary | Physical Therapy Assistant | 1620 Magnolia St, Liberty, TX 77575-3546 | 2015-08-19 |
| 1053797894 | Jordin Seidel | Speech-Language Pathologist | 1620 Magnolia St, Liberty, TX 77575-3546 | 2015-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1003285156 | Divine Garden Transportation | Non-emergency Medical Transport (VAN) | 450 Mlking Dr., Liberty, TX 77575 | 2015-09-18 |
| 1689895799 | Allen R. Griffin | Eyewear Supplier (Equipment, not the service) | 2718 B N. Main St., Liberty, TX 77575 | 2007-05-02 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699877530 | Lessie Frank | Licensed Vocational Nurse | 612 Highway 90, Liberty, TX 77575 | 2006-09-01 |
| 1588601827 | Trudy Poor Britz | Nurse Practitioner | 1807 Rampart, League, TX 77575 | 2006-06-02 |
| 1285680033 | Faresh Mehta | Optometrist | 2121 Hwy 146 Bypass, Liberty, TX 77575 | 2006-05-25 |
| 1922455781 | Bassam A. Hamid M.d.,p.a. Urgent Care/primarycare | Clinic/Center | 608 Travis, Liberty, TX 77575 | 2016-05-20 |
| 1508887241 | Tri-county Behavioral Healthcare | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2006-07-21 |
| 1528581220 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1420 Holly St, Liberty, TX 77575-3118 | 2017-07-25 |
| Find all providers in zip 77575 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1144769563 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 624 Fannin St, Liberty, TX 77575-4916 | 2017-02-17 |
| 1699922559 | Ronda May | Skilled Nursing Facility | 228 Casey Dr, Liberty, KY 42539-3229 | 2008-08-22 |
| 1558518506 | Sherry Wesley IIi | Skilled Nursing Facility | 2757 Canoe Creek Rd, Liberty, KY 42539-6127 | 2008-08-21 |
| 1982866802 | Jan-doreen Williamson | Skilled Nursing Facility | 616 S Wallace Wilkinson Blvd, Liberty, KY 42539-3344 | 2008-07-01 |
| 1295830776 | Pleasant Valley Manor Inc | Skilled Nursing Facility | 6814 Sobbie Road, Liberty, MO 64068 | 2006-09-13 |
| 1548362395 | Hsmtx/liberty, LLC | Skilled Nursing Facility | 1206 N Travis St, Liberty, TX 77575 | 2006-09-02 |
| 1699722876 | Ashton Court Healthcare LLC | Skilled Nursing Facility | 1200 W College St, Liberty, MO 64068-1036 | 2006-05-31 |
| 1861458036 | Wmop LLC | Skilled Nursing Facility | 170 Lake St, Liberty, NY 12754-1966 | 2006-04-25 |
| 1912997685 | Clc of Liberty, LLC | Skilled Nursing Facility | 323 Industrial Park, Liberty, MS 39645-8069 | 2005-10-25 |
| Find all providers in LIBERTY | ||||
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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.