MAGNOLIA SENIOR CARE LLC
NPI 1427240779
Skilled Nursing Facility in Jackson, MS

Active since August 10, 2007CLIA 25D0318333 · Waiver
3/5
Overall Rating
3701 PETER QUINN DR, JACKSON, MS 39213(601) 366-1712(601) 366-1715 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Senior Care Llc NPPES

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

MAGNOLIA SENIOR CARE LLC (NPI 1427240779) is a healthcare organization registered as a skilled nursing facility in Jackson, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Tina Ellis, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1427240779
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAGNOLIA SENIOR CARE LLC
Location Address3701 PETER QUINN DRJackson, MS 39213-3309
Mailing Address3701 Peter Quinn DrJackson, MS 39213-3309 · (601) 366-1712 · Fax (601) 366-1715
Fax(601) 366-1715
Organization SubpartNo
Authorized OfficialTina EllisComptroller · (601) 366-1712
Enumeration DateAugust 10, 2007
NPI 1427240779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 404
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3701 PETER QUINN DR, Jackson, MS 39213

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 25D0318333

Magnolia Senior Care · Jackson, MS
Active · expires Jun 6, 2027
CLIA Number25D0318333
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorBenita Cribb
Laboratory Phone(601) 366-1703
Laboratory LocationMagnolia Senior Care3701 Peter Quinn Drive, Jackson, MS 39213
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Magnolia Senior Care, LLC (CMS certification number 255275), from CMS Care Compare.

Magnolia Senior Care, LLC

Nursing home · Jackson, MS
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255275
Certified Beds60 beds51 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
8.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.98 · LPN 1.13 · RN 0.28
3.39 hrs per resident per day
Weekend Nurse Staffing
2.96 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
3701 PETER QUINN DR
JACKSON, MS 39213

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 Senior Care LLC's NPI number?

The NPI number for Magnolia Senior Care LLC is 1427240779. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Magnolia Senior Care LLC located?

Magnolia Senior Care LLC is located at 3701 Peter Quinn Dr, Jackson, MS 39213. The listed phone number is (601) 366-1712.

What is Magnolia Senior Care LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Magnolia Senior Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0318333) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Magnolia Senior Care LLC a Medicare-certified nursing home?

Yes. Magnolia Senior Care, LLC is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Magnolia Senior Care LLC have?

CMS rates Magnolia Senior Care, LLC 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Magnolia Senior Care LLC was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.