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MAGNOLIA HEALTH CARE LLC
NPI 1225908445
Registered Nurse - Wound Care in Gambrills, MD

Active since November 11, 2025
2407 BANEBERRY LN, GAMBRILLS, MD 21054(410) 793-2634 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Magnolia Health Care Llc NPPES

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

MAGNOLIA HEALTH CARE LLC (NPI 1225908445) is a healthcare organization registered as a wound care in Gambrills, Maryland and active in the NPI registry since November 2025. The organization lists Shaquilla Vazquez Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1225908445
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameMAGNOLIA HEALTH CARE LLC
Location Address2407 BANEBERRY LNGambrills, MD 21054-1992
Mailing Address12530 Fairwood Pkwy Ste 102Bowie, MD 20720-6357 · (301) 715-3010 · Fax (410) 220-8162
Phone(410) 793-2634
Organization SubpartYes
Authorized OfficialShaquilla Vazquez ClarkOwner · (301) 715-3010
Enumeration DateNovember 11, 2025
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1225908445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2407 BANEBERRY LN, Gambrills, MD 21054
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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

Other Providers at the Same Location NPPES

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

MAGNOLIA HEALTH CARE LLC
Nurse Practitioner (Family)
2407 BANEBERRY LN
GAMBRILLS, MD 21054
Anne Arundel County (301) 715-3010

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 Care LLC's NPI number?

The NPI number for Magnolia Health Care LLC is 1225908445. It was assigned to this organization in the NPPES registry on November 11, 2025.

Where is Magnolia Health Care LLC located?

Magnolia Health Care LLC is located at 2407 Baneberry Ln, Gambrills, MD 21054. The listed phone number is (410) 793-2634.

What is Magnolia Health Care LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

When was this NPI record last updated?

The NPPES record for Magnolia Health Care LLC was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.