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MAGNOLIA PEC, LLC
NPI 1053913442
Clinic/Center - Medically Fragile Infants and Children Day Care in Laurel, MS

Active since November 11, 2020
404 N 12TH AVE, LAUREL, MS 39440(601) 682-1250(601) 682-1256 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Oct 6, 2021, Nov 11, 2020 (3 updates tracked since 2020).

About Magnolia Pec, Llc NPPES

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

MAGNOLIA PEC, LLC (NPI 1053913442) is a healthcare organization registered as a medically fragile infants and children day care in Laurel, Mississippi and active in the NPI registry since November 2020. The organization lists Elizabeth Brister, Owner, as its authorized official.

NPPES Registry Identity

NPI1053913442
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameMAGNOLIA PEC, LLC
Location Address404 N 12TH AVELaurel, MS 39440-3876
Mailing AddressPo Box 2403Monroe, LA 71207 · (318) 323-1930 · Fax (318) 323-1013
Phone(601) 682-1250
Fax(601) 682-1256
Organization SubpartNo
Authorized OfficialElizabeth BristerOwner · (318) 323-1930
Enumeration DateNovember 11, 2020
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1053913442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
404 N 12TH AVE, Laurel, MS 39440
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Other Identifiers 1

Medicaid007828091MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Pec, LLC's NPI number?

The NPI number for Magnolia Pec, LLC is 1053913442. It was assigned to this organization in the NPPES registry on November 11, 2020.

Where is Magnolia Pec, LLC located?

Magnolia Pec, LLC is located at 404 N 12th Ave, Laurel, MS 39440. The listed phone number is (601) 682-1250.

What is Magnolia Pec, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

What insurance does Magnolia Pec, LLC accept?

Health plans from Molina Healthcare list Magnolia Pec, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magnolia Pec, LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.