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MAGNOLIA HEALTH SYSTEM LLC
NPI 1861236150
Home Health in Fresno, CA

Active since June 21, 2024CLIA 05D2323320 · Waiver
1130 E SHAW AVE STE 104, FRESNO, CA 93710(559) 406-9838(559) 787-8761 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 9, 2025, Jul 3, 2024, Jun 21, 2024 (3 updates tracked since 2024).

About Magnolia Health System Llc NPPES

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

MAGNOLIA HEALTH SYSTEM LLC (NPI 1861236150) is a healthcare organization registered as a home health in Fresno, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Cinderela Ivory Co Echols, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1861236150
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMAGNOLIA HEALTH SYSTEM LLC
Location Address1130 E SHAW AVE STE 104Fresno, CA 93710-7838
Mailing Address1130 E Shaw Ave Ste 104Fresno, CA 93710-7838 · (559) 406-9838 · Fax (559) 787-8761
Phone(559) 406-9838
Fax(559) 787-8761
Organization SubpartNo
Authorized OfficialCinderela Ivory Co EcholsChief Operating Officer · (559) 406-9838
Enumeration DateJune 21, 2024
Last NPPES UpdateFebruary 28, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2026
✔ NPI 1861236150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1130 E SHAW AVE STE 104, Fresno, CA 93710
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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 05D2323320

Magnolia Health System · Fresno, CA
Active · expires May 4, 2027
CLIA Number05D2323320
Laboratory TypeHome Health Agency
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorTarlochan S. Tagore
Laboratory Phone(559) 406-9838
Laboratory LocationMagnolia Health System1130 E Shaw Avenue, Suite 104, Fresno, CA 93710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health System LLC's NPI number?

The NPI number for Magnolia Health System LLC is 1861236150. It was assigned to this organization in the NPPES registry on June 21, 2024.

Where is Magnolia Health System LLC located?

Magnolia Health System LLC is located at 1130 E Shaw Ave Ste 104, Fresno, CA 93710. The listed phone number is (559) 406-9838.

What is Magnolia Health System LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Magnolia Health System LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2323320) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Health System LLC was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.