MAGNOLIA ASSISTED LIVING CORPORATION NPI 1609923838

NPI Information

NPI: 1609923838
Provider Name: MAGNOLIA ASSISTED LIVING CORPORATION

Doing Business As: THE OAKS ASSISTED LIVING RESIDENCE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
203 CHARTER ST
COLUMBUS, TX
ZIP 78934
Phone: (979) 732-9590
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MAGNOLIA ASSISTED LIVING CORPORATION is an assisted living facility in Columbus, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MAGNOLIA ASSISTED LIVING CORPORATION NPI is 1609923838. The provider is registered as an organization entity type.
The provider Is Doing Business As The Oaks Assisted Living Residence.

The provider's business location address is:

203 CHARTER ST
COLUMBUS, TX
ZIP 78934-558
Phone: (979) 732-9590
Fax: (979) 732-9298

The provider's authorized official is Robert E. Gay .
The authorized official title is Owner and has the following contact phone number (979) 732-2347.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		030222	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001013679	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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