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MAGNOLIA FAMILY HEALTH LLC
NPI 1972103661
Nurse Practitioner - Primary Care in Oakland, MD

Active since October 30, 2020CLIA Certified · 2 labs
121 E 1ST AVE # AVW, OAKLAND, MD 21550(301) 759-3800(301) 777-7455 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Family Health Llc NPPES

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

MAGNOLIA FAMILY HEALTH LLC (NPI 1972103661) is a healthcare organization registered as a primary care in Oakland, Maryland and active in the NPI registry since October 2020. The organization holds 2 active CLIA laboratory certificates and lists Faith Ann Rodeheaver, Owner, as its authorized official.

NPPES Registry Identity

NPI1972103661
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMAGNOLIA FAMILY HEALTH LLC
Location Address121 E 1ST AVE # AVWOakland, MD 21550-2728
Mailing Address121 E 1st AveOakland, MD 21550-2728 · (301) 759-3800 · Fax (301) 777-7455
Phone(301) 759-3800
Fax(301) 777-7455
Organization SubpartNo
Authorized OfficialFaith Ann RodeheaverOwner · (301) 759-3800
Enumeration DateOctober 30, 2020
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1972103661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
121 E 1ST AVE # AVW, Oakland, MD 21550
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 21D2258084

Magnolia Family Health LLC · Oakland, MD
Active · expires Apr 17, 2028
CLIA Number21D2258084
Laboratory TypePractitioner Other
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorFaith A. Rodeheaver
Laboratory Phone(301) 759-3800
Laboratory LocationMagnolia Family Health LLC121 E 1st Avenue, Oakland, MD 21550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2206692

Magnolia Family Health LLC · Cumberland, MD
Active · expires Dec 21, 2026
CLIA Number21D2206692
Laboratory TypePractitioner Other
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorFaith Rodeheaver
Laboratory Phone(301) 759-3800
Laboratory LocationMagnolia Family Health LLC925 Bishop Walsh Rd Ste 5, Cumberland, MD 21502
CLIA data matches this NPI record on: 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 Family Health LLC's NPI number?

The NPI number for Magnolia Family Health LLC is 1972103661. It was assigned to this organization in the NPPES registry on October 30, 2020.

Where is Magnolia Family Health LLC located?

Magnolia Family Health LLC is located at 121 E 1st Ave # Avw, Oakland, MD 21550. The listed phone number is (301) 759-3800.

What is Magnolia Family Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Magnolia Family Health LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Magnolia Family Health LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.