MAGNOLIA GARDENS ASSISTED LIVING, INC
NPI 1316217367
Assisted Living Facility in Laurel, MS

Active since January 09, 2012CLIA Certified · 2 labs

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Gardens Assisted Living, Inc NPPES

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

MAGNOLIA GARDENS ASSISTED LIVING, INC (NPI 1316217367) is a healthcare organization registered as an assisted living facility in Laurel, Mississippi and active in the NPI registry since January 2012. The organization holds 2 active CLIA laboratory certificates and lists Deborah Darlene Steverson, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1316217367
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA GARDENS ASSISTED LIVING, INC
Location Address945 WEST DRLaurel, MS 39440-4703
Mailing Address945 West DrLaurel, MS 39440-4703 · (601) 477-9041
Organization SubpartNo
Authorized OfficialDeborah Darlene SteversonOwner/director · (601) 477-9041
Enumeration DateJanuary 9, 2012
NPI 1316217367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MS · 898
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
945 WEST DR, Laurel, MS 39440

Other Identifiers 1

Medicaid00585888MS

CLIA Laboratory Certificates CMS CLIA 2

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 25D2228978

Magnolia Gardens Assisted Living Of Ellisville · Ellisville, MS
Active · expires Jul 5, 2027
CLIA Number25D2228978
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDeborah D. Steverson
Laboratory Phone(601) 477-9041
Laboratory LocationMagnolia Gardens Assisted Living Of Ellisville303 E Ivy St, Ellisville, MS 39437
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2228976

Magnolia Gardens Assisted Living Of Laurel · Laurel, MS
Active · expires Jul 5, 2027
CLIA Number25D2228976
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDeborah D. Steverson
Laboratory Phone(601) 518-0597
Laboratory LocationMagnolia Gardens Assisted Living Of Laurel616 E 19th St, Laurel, MS 39440
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility (Assisted Living, Behavioral Disturbances)
945 WEST DR
LAUREL, MS 39440
Assisted Living Facility
945 WEST DR
LAUREL, MS 39440

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 Gardens Assisted Living, Inc's NPI number?

The NPI number for Magnolia Gardens Assisted Living, Inc is 1316217367. It was assigned to this organization in the NPPES registry on January 9, 2012.

Where is Magnolia Gardens Assisted Living, Inc located?

Magnolia Gardens Assisted Living, Inc is located at 945 West Dr, Laurel, MS 39440. The listed phone number is (601) 477-9041.

What is Magnolia Gardens Assisted Living, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Magnolia Gardens Assisted Living, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Magnolia Gardens Assisted Living, Inc was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.