MAGNOLIA HOLDINGS, LLC (NPI# 1316005226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316005226 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA HOLDINGS, LLC |
| Other Organization Name | OAK RIVER REHAB |
| Practice Address |
3300 Franklin St Anderson CA 96007-3279 |
| Practice Telephone | 5303650025 |
| Practice Fax Number | 5303650028 |
| Mailing Telephone | 5303650025 |
| Mailing Fax Number | 5303650028 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | NICKLAS ANDERSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7604710388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55147G | 05 | |
| CA | 1316005226 | 05 |
| Other Name | Type Code |
|---|---|
| Oak River Rehab | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MAGNOLIA HOLDINGS, LLC | 9133 E. Vassar Ave., Denver, CO 80231 |
| Street Address |
3300 FRANKLIN ST |
| City | ANDERSON |
| State | CA |
| Zip Code | 96007-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346315538 | Susan Frances Capella | Occupational Therapist | 3300 Franklin St, Anderson, CA 96007 | 2006-11-22 |
| 1073144614 | Jonathan Koza | Physical Therapist | 3300 Franklin St, Anderson, CA 96007-3279 | 2020-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948497 | Marilee Ruth King | Veterinarian | 3100 W Center St, Anderson, CA 96007 | 2012-06-27 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1063676898 | Adriana Elia Vazquez | Licensed Vocational Nurse | 7175 Eastsidee Rd, Anderson, CA 96007 | 2008-07-10 |
| 1730211103 | Danene Renee Mercill | Dentist | 2817 Childress Rd, Anderson, CA 96007 | 2007-03-12 |
| 1750457388 | Debra Marie Wright | Family Medicine | 2830 East Street, Anderson, CA 96007 | 2006-11-27 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1063527372 | Steven Edward Ahrens | Dentist | 1901 Barney Rd, Anderson, CA 96007 | 2006-08-20 |
| 1255340568 | Paul C Davainis | Family Medicine | 2965 East St, Anderson, CA 96007 | 2006-08-05 |
| 1700137882 | Roberta Ann Samples | Registered Nurse | 2830 East St, Anderson, CA 96007 | 2012-09-28 |
| 1972803443 | Michael Harris | Pharmacist | 2601 Balls Ferry Rd, Anderson, CA 96007 | 2010-10-29 |
| Find all providers in zip 96007 | ||||
| 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 |
|---|---|---|---|---|
| 1134334246 | Seneca Health and Rehab | Skilled Nursing Facility | 1104 Thornehill Dr, Anderson, SC 29621-1500 | 2007-05-11 |
| 1215045000 | Hancock Regional Hospital | Skilled Nursing Facility | 1707 Bethany Rd, Anderson, IN 46012-9669 | 2006-08-29 |
| 1386661320 | Witham Memorial Hospital | Skilled Nursing Facility | 1821 Lindberg Rd, Anderson, IN 46012-2711 | 2006-07-16 |
| 1548286032 | Brookside Lving Center, LLC | Skilled Nursing Facility | 208 James St, Anderson, SC 29625-2942 | 2006-07-15 |
| 1740225283 | Nhc Healthcare-anderson, LLC | Skilled Nursing Facility | 1501 E Greenville St, Anderson, SC 29621-2004 | 2006-06-18 |
| 1871533588 | Ellenburg Nursing Center, Inc. | Skilled Nursing Facility | 611 E Hampton St, Anderson, SC 29624-2814 | 2006-06-08 |
| 1245278332 | Manor Care of Anderson In LLC | Skilled Nursing Facility | 1345 N Madison Ave, Anderson, IN 46011-1215 | 2006-06-02 |
| 1215988712 | Ggnsc Anderson LLC | Skilled Nursing Facility | 1000 Patterson St, Anderson, MO 64831-7327 | 2006-05-12 |
| 1801882659 | Putnam County Hospital | Skilled Nursing Facility | 1235 W Cross St, Anderson, IN 46011-9501 | 2005-09-26 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| Find all providers in ANDERSON | ||||
Please comment or provide details below to improve the information on MAGNOLIA HOLDINGS, 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.