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THE BLUE MAGNOLIA LLC NPI 1538292743


NPI Information

NPI: 1538292743
Provider Name: THE BLUE MAGNOLIA, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
829 N JUSTICE ST
HENDERSONVILLE, NC
ZIP 28791
Phone: (828) 899-0232
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THE BLUE MAGNOLIA, LLC is a day training developmentally disabled services in Hendersonville, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. THE BLUE MAGNOLIA, LLC NPI is 1538292743. The provider is registered as an organization entity type.

The provider's business location address is:

829 N JUSTICE ST
HENDERSONVILLE, NC
ZIP 28791-440
Phone: (828) 899-0232

The provider's authorized official is Bernard Frederic .
The authorized official title is Manager and has the following contact phone number (828) 899-0232.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 6/18/2013.


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
1251B00000XCase Management3409557NORTH CAROLINANo
2253Z00000XIn Home Supportive Care3409557NORTH CAROLINANo
3385H00000XRespite Care3409557NORTH CAROLINANo
4251C00000XDay Training, Developmentally Disabled Services3408539NORTH CAROLINAYes

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
13408539MEDICAIDNORTH CAROLINA

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

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