Magnolia Gardens Llc

LBN: Magnolia Gardens Llc
Magnolia Gardens Llc is an health care organization with primary practice located at 6710 Mallery Dr , Lanham MD 20706-3964. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Magnolia Gardens Llc can be contacted via phone (301) 552-2000, or through Berg, Michael T. via phone (505) 468-4752.

Contact Information

Primary practice address
6710 Mallery Dr Lanham MD 20706-3964
Phone: (301) 552-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T.
Phone: (505) 468-4752

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 16011 Maryland
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 16-011 Maryland

Profile Details

NPI number 1891737573
LBN Legal business name Magnolia Gardens Llc
DBA Doing business as
Authorized official Berg, Michael T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Jun 23rd, 2025 - about last year

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 1891737573 NPPES
Other 0529622 AENTA-HMO
Other 08952 AENTA-HMO
Other 7100074 AENTA-HMO
Other 345178 AENTA-HMO
MEDICAID 818989700 AENTA-HMO
Other HV1 AENTA-HMO
Other 028F AENTA-HMO
Other HV1 AENTA-HMO

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