Autumn Leaves Nursing Home

LBN: Magnolia Healthcare, Inc.
Autumn Leaves Nursing Home is an health care organization with primary practice located at 570 Solomon St , Greenville MS 38703-2771. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Magnolia Healthcare, Inc. can be contacted via phone (662) 335-5863, or through Daspit, Richard Thomas via phone (225) 906-4644.

Contact Information

Primary practice address
570 Solomon St Greenville MS 38703-2771
Phone: (662) 335-5863
Fax: (662) 335-5874
Website:
Map and Directions
Authorized official contact:
Name: Daspit, Richard Thomas
Phone: (225) 906-4644

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 494 Mississippi

Profile Details

NPI number 1164510475
LBN Legal business name Magnolia Healthcare, Inc.
DBA Doing business as Autumn Leaves Nursing Home
Authorized official Daspit, Richard Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164510475 NPPES
Mississippi MEDICAID 220307

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