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MAGNOLIA HEALTH SYSTEM LLC
NPI 1114725090
Hospice Care, Community Based in Fresno, CA

Active since March 05, 2025CLIA 05D2321625 · Waiver
1130 E SHAW AVE STE 105, FRESNO, CA 93710(555) 375-1718(559) 421-1987 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, Mar 5, 2025 (2 updates tracked since 2025).

About Magnolia Health System Llc NPPES

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

MAGNOLIA HEALTH SYSTEM LLC (NPI 1114725090) is a healthcare organization registered as a hospice care, community based in Fresno, California and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Cinderela Ivory Co Echols, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114725090
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameMAGNOLIA HEALTH SYSTEM LLC
Location Address1130 E SHAW AVE STE 105Fresno, CA 93710-7838
Mailing Address1130 E Shaw Ave Ste 105Fresno, CA 93710-7838 · (559) 375-1718 · Fax (559) 421-1987
Phone(555) 375-1718
Fax(559) 421-1987
Organization SubpartNo
Authorized OfficialCinderela Ivory Co EcholsChief Operating Officer · (559) 375-1718
Enumeration DateMarch 5, 2025
Last NPPES UpdateFebruary 28, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2026
✔ NPI 1114725090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1130 E SHAW AVE STE 105, Fresno, CA 93710
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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 05D2321625

Magnolia Health System LLC · Fresno, CA
Active · expires Apr 6, 2027
CLIA Number05D2321625
Laboratory TypeHospice
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorTarlochan S. Tagore
Laboratory Phone(559) 375-1887
Laboratory LocationMagnolia Health System LLC1130 E Shaw Avenue, Suite 105, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAIN POWER LEARNING CENTER
Clinic/Center (Rehabilitation)
1130 E SHAW AVE STE 105
FRESNO, CA 93710
Fresno County (559) 227-2345
DR. SARAH MARIE SCHUYLER PH.D.
Psychologist (Counseling)
1130 E SHAW AVE STE 105
FRESNO, CA 93710
Fresno County (559) 227-1977
NICOLE LEIGH FOSTER PA-C
Physician Assistant (Medical)
1130 E SHAW AVE STE 105
FRESNO, CA 93710
Fresno County (559) 459-4000

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 Health System LLC's NPI number?

The NPI number for Magnolia Health System LLC is 1114725090. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Magnolia Health System LLC located?

Magnolia Health System LLC is located at 1130 E Shaw Ave Ste 105, Fresno, CA 93710. The listed phone number is (555) 375-1718.

What is Magnolia Health System LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Magnolia Health System LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2321625) is associated with this NPI, valid through April 6, 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 Health System LLC was last updated on February 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.