Magnolia Hospice, LLC
NPI 1396169074ActiveOrganization· Hospice Care, Community Based· Conyers, GA
Hospice Care, Community Based in Conyers, Georgia, registered in NPPES in February 2014. The authorized official on file is Ismael Roque-Velasco, President/Ceo. Enrolled in Medicare as part a provider - hospice.
Overview
| NPI | 1396169074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2014 |
| Last updated in NPPES | May 17, 2023 |
| Certified by provider | May 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (GA) |
|---|
Other hospice agencies in Conyers
- 1104031863
- 1184242026
- 1205603909
- 1295366557
- 1326823923
- 1588625925
- 1598203358
- 1619093788
- 1649342536
- 1679464010
- 1801493937
- 1811308943
All 17 hospice agencies in Conyers · All hospice agencies in Georgia