Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAGNOLIA RECREATION AND SERVICES LLC
NPI 1174440523
Community Health Worker in Lena, MS

Active since July 06, 2026
1411 MORGAN RD, LENA, MS 39094(601) 300-2797 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Recreation And Services Llc NPPES

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

MAGNOLIA RECREATION AND SERVICES LLC (NPI 1174440523) is a healthcare organization registered as a community health worker in Lena, Mississippi and active in the NPI registry since July 2026. The organization lists Lakeshia Evon Kennedy, Manager, as its authorized official.

NPPES Registry Identity

NPI1174440523
Entity TypeOrganization
Primary Taxonomy172V00000X
Legal Business NameMAGNOLIA RECREATION AND SERVICES LLC
Location Address1411 MORGAN RDLena, MS 39094-9254
Mailing Address1411 Morgan RdLena, MS 39094-9254 · (601) 300-2797
Organization SubpartNo
Authorized OfficialLakeshia Evon KennedyManager · (601) 300-2797
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1174440523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
1411 MORGAN RD, Lena, MS 39094

Other Names 1

Former Legal Business NameMagnolia Recreation And Services Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Recreation And Services LLC's NPI number?

The NPI number for Magnolia Recreation And Services LLC is 1174440523. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Magnolia Recreation And Services LLC located?

Magnolia Recreation And Services LLC is located at 1411 Morgan Rd, Lena, MS 39094. The listed phone number is (601) 300-2797.

What is Magnolia Recreation And Services LLC's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Recreation And Services LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.