MAGNOLIA MANOR, INC.
NPI 1649489949
Assisted Living Facility in Purdy, MO

Q: What is Magnolia Manor, Inc.'s NPI number?

The NPI number for Magnolia Manor, Inc. is 1649489949. It was assigned to this organization in the NPPES registry on May 22, 2007.

Q: What is Magnolia Manor, Inc.'s specialty?

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

Active since May 22, 2007

RR 2 BOX 265C, PURDY, MO 65734(417) 442-3633(417) 442-3635 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Magnolia Manor, Inc. NPPES

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

MAGNOLIA MANOR, INC. (NPI 1649489949) is a healthcare organization registered as an assisted living facility in Purdy, Missouri and active in the NPI registry since May 2007. The organization lists Sheri L Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1649489949

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAGNOLIA MANOR, INC.

Location AddressRR 2 BOX 265CPurdy, MO 65734-9507

Mailing AddressRr 2 Box 265cPurdy, MO 65734-9507 · (417) 442-3633 · Fax (417) 442-3635

Phone(417) 442-3633

Fax(417) 442-3635

Organization SubpartNo

Authorized OfficialSheri L DavidsonPresident · (417) 442-3633

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1649489949 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 MO · 032816

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.

RR 2 BOX 265C, Purdy, MO 65734

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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 Manor, Inc.'s NPI number?

The NPI number for Magnolia Manor, Inc. is 1649489949. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Magnolia Manor, Inc. located?

Magnolia Manor, Inc. is located at Rr 2 Box 265C, Purdy, MO 65734. The listed phone number is (417) 442-3633.

What is Magnolia Manor, Inc.'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 Manor, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.