Provider Demographics
NPI:1972482842
Name:MAGNOLIA IN-HOME HOME CARE LLC
Entity type:Organization
Organization Name:MAGNOLIA IN-HOME HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:314-305-4218
Mailing Address - Street 1:4144 LINDELL BLVD STE 312
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2953
Mailing Address - Country:US
Mailing Address - Phone:314-305-4218
Mailing Address - Fax:314-305-4218
Practice Address - Street 1:4144 LINDELL BLVD STE 312
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2953
Practice Address - Country:US
Practice Address - Phone:314-305-4218
Practice Address - Fax:314-305-4218
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAGNOLIA HOME HEALTH CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty