MAGNOLIA MOBILE HOME CARE LLC
NPI 1689374589
In Home Supportive Care in Amory, MS

Active since March 08, 2023
300 FRONT ST S STE 6, AMORY, MS 38821(662) 315-5612 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Magnolia Mobile Home Care Llc NPPES

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

MAGNOLIA MOBILE HOME CARE LLC (NPI 1689374589) is a healthcare organization registered as an in home supportive care in Amory, Mississippi and active in the NPI registry since March 2023. The organization lists Elaina Ponder, Owner, as its authorized official.

NPPES Registry Identity

NPI1689374589
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMAGNOLIA MOBILE HOME CARE LLC
Location Address300 FRONT ST S STE 6Amory, MS 38821-4202
Mailing Address300 Front St S Ste 6Amory, MS 38821-4202
Organization SubpartNo
Authorized OfficialElaina PonderOwner · (662) 315-5612
Enumeration DateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1689374589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
300 FRONT ST S STE 6, Amory, MS 38821

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Mobile Home Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Mobile Home Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235783127
1506 U.S. 278 SUITE A
Amory, MS 38821
(662) 305-9149
✔ PECOS✔ Accepts Medicare5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mobile Home Care LLC's NPI number?

The NPI number for Magnolia Mobile Home Care LLC is 1689374589. It was assigned to this organization in the NPPES registry on March 8, 2023.

Where is Magnolia Mobile Home Care LLC located?

Magnolia Mobile Home Care LLC is located at 300 Front St S Ste 6, Amory, MS 38821. The listed phone number is (662) 315-5612.

What is Magnolia Mobile Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Is Magnolia Mobile Home Care LLC enrolled in Medicare?

Yes. Magnolia Mobile Home Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Mobile Home Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Magnolia Mobile Home Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Mobile Home Care LLC was last updated on March 8, 2023. 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.