MAGNOLIA 1 HOUSE (NPI# 1700418373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700418373 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA 1 HOUSE |
| Practice Address |
505 E 38th St Houston TX 77022 |
| Practice Telephone | 8328010294 |
| Mailing Telephone | 8328010294 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | FRER BASS (PRESIDENT) |
| Authorized Official Telephone | 8328010294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
505 E 38TH ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| 1194974493 | Ray of Light Homecare Services | Home Health | 814 Berry Rd., Houston, TX 77022 | 2008-09-11 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766336 | Living Faith Community Home, Inc. | Custodial Care Facility | 10735 Braes Forest Dr, Houston, TX 77071-1501 | 2020-06-25 |
| 1558901249 | Natasha Mosley | Custodial Care Facility | 9027 Weymouth Dr, Houston, TX 77031-3032 | 2020-01-09 |
| 1073097663 | Lawrence Carethers | Custodial Care Facility | 6226 Kashmere St, Houston, TX 77026-1626 | 2018-09-19 |
| 1659852820 | Divinity Care Center | Custodial Care Facility | 5800 Ranchester Dr Ste 188, Houston, TX 77036-2464 | 2018-08-27 |
| 1972032373 | Home for Today | Custodial Care Facility | 1206 Laurel Chase Trail, Houston, TX 77073 | 2017-06-08 |
| 1972034858 | Christine Peltier-mulcare | Custodial Care Facility | 2307 Tomlinson Trail Dr, Houston, TX 77067-3797 | 2017-03-23 |
| 1477092641 | Caring Cove LLC | Custodial Care Facility | 4903 Christopher Pl, Houston, TX 77066-1712 | 2017-02-21 |
| 1912445370 | Lisa M Barrow | Custodial Care Facility | 3110 Kainer Meadows Ln, Houston, TX 77047-6230 | 2017-02-06 |
| 1538604079 | About Living Healthcare Services | Custodial Care Facility | 7600 Creekbend Dr Apt 823, Houston, TX 77071-1849 | 2016-12-19 |
| 1265974232 | Gt Living Center, Inc | Custodial Care Facility | 1414 S Dairy Ashford Rd Apt 801, Houston, TX 77077-2356 | 2016-11-08 |
| Find all providers in HOUSTON | ||||
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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.