MAGNOLIA HEALTH COLLECTIVE LLC
NPI 1154205011
Clinic/Center in New Orleans, LA

NPI Status: Active since August 04, 2025

Contact Information

5217 ARTS ST
NEW ORLEANS, LA
ZIP 70122
Phone: (912) 381-3811

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  • Organization
  • Clinic/Center
  • CLIA Number: 19D2316530
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 01-06-2027

About MAGNOLIA HEALTH COLLECTIVE LLC

This page provides the complete NPI Profile along with additional information for Magnolia Health Collective Llc, a provider established in New Orleans, Louisiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154205011 assigned on August 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Andrew Allen Davenport Np (Nurse Practitioner)

NPI
1154205011
Provider Name
MAGNOLIA HEALTH COLLECTIVE LLC
Entity Type
Organization
Location Address
5217 ARTS ST NEW ORLEANS, LA 70122
Location Phone
(912) 381-3811
Mailing Address
5217 ARTS ST NEW ORLEANS, LA 70122
Mailing Phone
(912) 381-3811
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2025
Last Update Date
08-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREW ALLEN DAVENPORT NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(912) 381-3811

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2316530
Facility Type
Mobile Laboratory
Certificate Effective Date
January 07, 2025
Certificate Expiration Date
January 06, 2027
Laboratory Director
ANDREW A. DAVENPORT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Health Collective Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154205011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 2 → 4 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 4 + 0 + 1 + 0 + 0 + 2 + 24 = 39

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154205011.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154205011, enumerated as an "organization" on August 04, 2025.

The provider is located at 5217 ARTS ST NEW ORLEANS, LA 70122 and the phone number is (912) 381-3811.

Clinic/Center with taxonomy code 261Q00000X.