MAGNOLIA PROVIDER SERVICES (MAGNOLIA ONE RESOURCES INC.) NPI 1003423120

Day Training, Developmentally Disabled Services in Houston, TX

NPI 1003423120 Organization Day Training, Developmentally Disabled S...

About MAGNOLIA PROVIDER SERVICES (MAGNOLIA ONE RESOURCES INC.)

Magnolia Provider Services (magnolia One Resources Inc.) is a provider established in Houston, Texas specializing in day training, developmentally disabled services. The NPI number of Magnolia Provider Services (magnolia One Resources Inc.) is 1003423120 and was assigned on September 2020. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Magnolia Provider Services. The authorized official of this NPI record is Mrs. Michelle Cantina Ausberry (President)

NPI

1003423120

Provider NameMAGNOLIA PROVIDER SERVICES (MAGNOLIA ONE RESOURCES INC.)
Provider Location Address16303 LEEDSWELL LN HOUSTON, TX 77084
Provider Mailing Address16303 LEEDSWELL LN HOUSTON, TX 77084
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMAGNOLIA PROVIDER SERVICES
Other Name TypeDoing Business As (3)
Enumeration Date09-24-2020
Last Update Date12-16-2020


Primary Taxonomy

Taxonomy Code251C00000X
ClassificationDay Training, Developmentally Disabled Services
TypeAgencies
Taxonomy DescriptionThese 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.

Business Address

MAGNOLIA PROVIDER SERVICES
16303 LEEDSWELL LN
HOUSTON, TX
ZIP 77084
Phone: (832) 668-0787

Get Directions


Mailing Address

MAGNOLIA PROVIDER SERVICES
16303 LEEDSWELL LN
HOUSTON, TX
ZIP 77084
Phone: (832) 342-6679



Authorized Official

Authorized Official NameMRS. MICHELLE CANTINA AUSBERRY
Authorized Official TitlePRESIDENT
Authorized Official Phone(832) 342-6679

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982849493 ALBERT DARNELL AUSBERRY
Individual
Case Manager/Care Coordinator16303 LEEDSWELL LN
HOUSTON, TX 77084
(832) 721-0599

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.