MAGNOLIA CARE HOME 1 LLC
NPI 1427761261
Assisted Living Facility in Stockton, CA

Q: What is Magnolia Care Home 1 LLC's NPI number?

The NPI number for Magnolia Care Home 1 LLC is 1427761261. It was assigned to this organization in the NPPES registry on December 26, 2022. The provider is also known as Magnolia Care Home 1.

Q: What is Magnolia Care Home 1 LLC's specialty?

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

Active since December 26, 2022

4727 SONGWOOD CT, STOCKTON, CA 95206(510) 409-7096 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Magnolia Care Home 1 Llc NPPES

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

MAGNOLIA CARE HOME 1 LLC (NPI 1427761261) is a healthcare organization registered as an assisted living facility in Stockton, California and active in the NPI registry since December 2022. The organization lists Mariam Gbaty Soumahoro, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427761261

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAGNOLIA CARE HOME 1 LLC

Location Address4727 SONGWOOD CTStockton, CA 95206-6228

Mailing Address4727 Songwood CtStockton, CA 95206-6228 · (510) 409-7096

Phone(510) 409-7096

Organization SubpartNo

Authorized OfficialMariam Gbaty SoumahoroAdministrator · (510) 409-7096

Enumeration DateDecember 26, 2022

NPPES CertifiedDecember 26, 2022

✔ NPI 1427761261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

4727 SONGWOOD CT, Stockton, CA 95206

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Other Names 1

Other NameMagnolia Care Home 1

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 Care Home 1 LLC's NPI number?

The NPI number for Magnolia Care Home 1 LLC is 1427761261. It was assigned to this organization in the NPPES registry on December 26, 2022. The provider is also known as Magnolia Care Home 1.

Where is Magnolia Care Home 1 LLC located?

Magnolia Care Home 1 LLC is located at 4727 Songwood Ct, Stockton, CA 95206. The listed phone number is (510) 409-7096.

What is Magnolia Care Home 1 LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Magnolia Care Home 1 LLC was last updated on December 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.