MAGNOLIA GARDENS (NPI# 1376765412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376765412 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA GARDENS |
| Practice Address |
3211 Chandler Road Muskogee OK 74403 |
| Mailing Address |
Po Box 3006 Salem OR 97386 |
| Practice Telephone | 9186838388 |
| Mailing Telephone | 5034858697 |
| Mailing Fax Number | 5034851279 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JON HARDER (PRESIDENT) |
| Authorized Official Telephone | 5034858697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760677413 | Magnolia Gardens | Assisted Living Facility | 594 Murray Hill Rd, Southern Pines, NC 28387 | 2007-09-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAGNOLIA GARDENS | 1031 4th St, Daytona Beach, FL 32117-4184 |
| Oregon Corporations, Companies and Business Names | MAGNOLIA GARDENS ADULT FOSTER CARE | 366 Knoop Lane, Eugene, OR 97404 |
| Oregon Corporations, Companies and Business Names | MAGNOLIA GARDENS ASSISTED LIVING | 1425 Daugherty, Cottage Grove, OR 97424 |
| Oklahoma Business Registrations | MAGNOLIA GARDENS ASSISTED LIVING & MEMORY CARE, LLC | 3723 Fairview Industrial Dr Se Ste 270, Salem, OR 97302-0006 |
| Oregon Corporations, Companies and Business Names | MAGNOLIA GARDENS ASSISTED RETIREMENT LIVING, L.L.C. | 1960 Olive St, Eugene, OR 97405 |
| New York State Corporations | MAGNOLIA GARDENS DEVELOPER INC. | 108 Norfolk Street, New York, Ny 10002 |
| New York State Corporations | MAGNOLIA GARDENS HOUSING DEVELOPMENT FUND CORPORATION | 108 Norfolk Street, New York, Ny 10002 |
| North Carolina Corporations | Magnolia Gardens Housing LLC | 2840 Plaza Place Suite 475, Raleigh, NC 27612-2101 |
| North Carolina Corporations | Magnolia Gardens Housing of Charlotte LLC | 2840 Plaza Place Suite 475, Raleigh, NC 27612-2101 |
| Oregon Corporations, Companies and Business Names | MAGNOLIA GARDENS L.L.C. | 1425 Daugherty, Cottage Grove, OR 97424 |
| Street Address |
3211 CHANDLER ROAD |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| 1770602526 | Gary W Lambert, D. O. | Family Medicine | 620 East Okmulgee, Muskogee, OK 74403 | 2007-03-29 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| 1912122458 | Dogwood Creek Retirement Center | Assisted Living Facility | 3230 E Shawnee Rd, Muskogee, OK 74403-1813 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834482 | Red Bud Assisted Living LLC | Assisted Living Facility | 215 W Freeman Ave, Perkins, OK 74059-5600 | 2020-09-03 |
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1871908913 | Edmond Memory Care, LLC | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1508270380 | Heatheridge Health Care, LLC | Assisted Living Facility | 2130 S 85th East Ave, Tulsa, OK 74129-3066 | 2014-06-19 |
| 1740608660 | United Senior Properties of Shawnee, LLC | Assisted Living Facility | 789 E Country Grove Dr, Shawnee, OK 74804-1404 | 2014-03-29 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1962837039 | Hugo Family Pharmacy | Assisted Living Facility | 420 E Jackson St, Hugo, OK 74743-4021 | 2013-09-09 |
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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.