Magnolia Primary Care Llc

LBN: Magnolia Primary Care Llc
Magnolia Primary Care Llc is an health care organization with primary practice located at 2101 S Ejido Ave , Laredo TX 78046-6750. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is the primary health care specialty. Magnolia Primary Care Llc can be contacted via phone (956) 235-2973, or through Carrillo, Claudia via phone (956) 235-2973.

Contact Information

Primary practice address
2101 S Ejido Ave Laredo TX 78046-6750
Phone: (956) 235-2973
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrillo, Claudia
Phone: (956) 235-2973

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1750042289
LBN Legal business name Magnolia Primary Care Llc
DBA Doing business as
Authorized official Carrillo, Claudia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2022
Last updated Jan 6th, 2022 - about 2 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 1750042289 NPPES
Texas MEDICAID 804361405

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