Arnold Avenue Nursing Home

LBN: Magnolia Healthcare, Inc.
Arnold Avenue Nursing Home is an health care organization with primary practice located at 402 Arnold Ave , Greenville MS 38701-4713. 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) 332-0318, or through Daspit, Richard Thomas via phone (225) 906-4644.

Contact Information

Primary practice address
402 Arnold Ave Greenville MS 38701-4713
Phone: (662) 332-0318
Fax: (662) 335-7892
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 420 Mississippi

Profile Details

NPI number 1609964220
LBN Legal business name Magnolia Healthcare, Inc.
DBA Doing business as Arnold Avenue Nursing Home
Authorized official Daspit, Richard Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 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 1609964220 NPPES
Mississippi MEDICAID 220309

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