MAGNOLIA HEALTHCARE CENTER LLC
NPI 1013905561
Skilled Nursing Facility in Magnolia, AR

Active since October 10, 2005CLIA 04D0691015 · Waiver
600 LELIA ST, MAGNOLIA, AR 71753(870) 234-7000(870) 234-7168 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Healthcare Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA HEALTHCARE CENTER LLC (NPI 1013905561) is a healthcare organization registered as a skilled nursing facility in Magnolia, Arkansas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Margaret Coats, Mds Co Ordinator, as its authorized official.

NPPES Registry Identity

NPI1013905561
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAGNOLIA HEALTHCARE CENTER LLC
Location Address600 LELIA STMagnolia, AR 71753-4035
Mailing Address600 Lelia StMagnolia, AR 71753-4035 · (870) 234-7000 · Fax (870) 234-7168
Fax(870) 234-7168
Organization SubpartNo
Authorized OfficialMargaret CoatsMds Co Ordinator · (870) 234-7000
Enumeration DateOctober 10, 2005
Last NPPES UpdateApril 9, 2008
NPI 1013905561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AR · 746
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
600 LELIA ST, Magnolia, AR 71753

Other Identifiers 1

Medicare ID-Type Unspecified045135AR · Medicare Provider Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0691015

Magnolia Healthcare LLC · Magnolia, AR
Active · expires Aug 27, 2027
CLIA Number04D0691015
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorMs. Chelsee Pegue
Laboratory Phone(870) 234-7000
Laboratory LocationMagnolia Healthcare LLC2642 North Dudney Road, Magnolia, AR 71753
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Healthcare Center LLC's NPI number?

The NPI number for Magnolia Healthcare Center LLC is 1013905561. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Magnolia Healthcare Center LLC located?

Magnolia Healthcare Center LLC is located at 600 Lelia St, Magnolia, AR 71753. The listed phone number is (870) 234-7000.

What is Magnolia Healthcare Center LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Magnolia Healthcare Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0691015) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Healthcare Center LLC was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.