MAGNOLIA GRACE SENIOR CARE OF GEORGIA, LLC
NPI 1518704220
In Home Supportive Care in Brunswick, GA

NPI Status: Active since July 10, 2024

Contact Information

501 GLOUCESTER ST STE 115
BRUNSWICK, GA
ZIP 31520
Phone: (912) 266-8737
Fax: (912) 228-3400

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  • Organization
  • In Home Supportive Care
  • CLIA Number: 11D1036833
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-09-2027

About MAGNOLIA GRACE SENIOR CARE OF GEORGIA, LLC

This page provides the complete NPI Profile along with additional information for Magnolia Grace Senior Care Of Georgia, Llc, a provider established in Brunswick, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1518704220 assigned on July 2024. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dinitra N Wrice (Owner/director)

NPI
1518704220
Provider Name
MAGNOLIA GRACE SENIOR CARE OF GEORGIA, LLC
Entity Type
Organization
Location Address
501 GLOUCESTER ST STE 115 BRUNSWICK, GA 31520
Location Phone
(912) 266-8737
Location Fax
(912) 228-3400
Mailing Address
1201 SHADOWLAWN DR STE 115 SAINT MARYS, GA 31558
Mailing Phone
(912) 266-8737
Mailing Fax
(912) 228-3400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2024
Last Update Date
07-17-2024
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Location Map

Secondary Locations

  • 1201 Shadowlawn Dr Ste 115
    Saint Marys, GA 31558
    (912) 266-8737

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DINITRA N WRICE

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(904) 855-5114

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1036833
Facility Type
Other
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
JOHN T. SIMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Grace Senior Care Of Georgia, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAGNOLIA GRACE SENIOR CARE OF GEORGIA, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518704220
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528140824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 4 + 0 + 8 + 2 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518704220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417195546MS. VIRGINIA ELIZABETH HOLM LCSW
Individual
Social Worker (Clinical)501 GLOUCESTER ST STE 115
BRUNSWICK, GA 31520
(125) 808-5679

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518704220, enumerated in the NPI registry as an "organization" on July 10, 2024

The provider is located at 501 Gloucester St Ste 115 Brunswick, Ga 31520 and the phone number is (912) 266-8737

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

The provider's CLIA number is 11D1036833 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 10, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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