MAGNOLIA GARDENS SENIOR CARE
NPI 1053448522
Assisted Living Facility in Roanoke Rapids, NC

Active since February 28, 2007
829 ROANOKE AVE, ROANOKE RAPIDS, NC 27870(252) 308-1743 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Magnolia Gardens Senior Care NPPES

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

MAGNOLIA GARDENS SENIOR CARE (NPI 1053448522) is a healthcare organization registered as an assisted living facility in Roanoke Rapids, North Carolina and active in the NPI registry since February 2007. The organization lists Kim Simpson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053448522
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIS GARDENS, INC
Location Address829 ROANOKE AVERoanoke Rapids, NC 27870-2717
Mailing AddressPo Box 2042Roanoke Rapids, NC 27870-1242 · (252) 535-5006
Organization SubpartNo
Authorized OfficialKim SimpsonCeo · (252) 535-5006
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1053448522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · FCL-042-002
Definition

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.

829 ROANOKE AVE, Roanoke Rapids, NC 27870

Other Names 1

Doing Business AsMagnolia Gardens Senior Care

Other Identifiers 1

Medicaid7802782NC

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 Magnolis Gardens, Inc's NPI number?

The NPI number for Magnolis Gardens, Inc is 1053448522. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Magnolia Gardens Senior Care.

Where is Magnolis Gardens, Inc located?

Magnolis Gardens, Inc is located at 829 Roanoke Ave, Roanoke Rapids, NC 27870. The listed phone number is (252) 308-1743.

What is Magnolis Gardens, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Magnolis Gardens, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.