Magdala Foundation

LBN: Magdala Foundation
Magdala Foundation is an health care organization with primary practice located at 3148 S Kingshighway Blvd , Saint Louis MO 63139-1118. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Magdala Foundation can be contacted via phone (314) 571-9950, or through Mangogna, Thomas via phone (314) 652-6004.

Contact Information

Primary practice address
3148 S Kingshighway Blvd Saint Louis MO 63139-1118
Phone: (314) 571-9950
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mangogna, Thomas
Phone: (314) 652-6004

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2452-10039 Missouri
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2452-10040 Missouri
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2452-10041 Missouri
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2452-10042 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 2452, 1460-7235 Missouri

Profile Details

NPI number 1962576033
LBN Legal business name Magdala Foundation
DBA Doing business as
Authorized official Mangogna, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 11th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962576033 NPPES
Missouri MEDICAID 852098805
Missouri MEDICAID 112364401
Missouri MEDICAID 112364500
Missouri MEDICAID 112182704
Missouri MEDICAID 112182605

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