Provider Demographics
NPI:1558248435
Name:MAGNOLIA HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:MAGNOLIA HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/HOMECARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LANETTE
Authorized Official - Middle Name:RANEA
Authorized Official - Last Name:ISBELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-335-3741
Mailing Address - Street 1:2265 116TH AVE NE STE 1110
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3012
Mailing Address - Country:US
Mailing Address - Phone:425-962-0224
Mailing Address - Fax:425-962-0228
Practice Address - Street 1:2265 116TH AVE NE STE 1110
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3012
Practice Address - Country:US
Practice Address - Phone:425-962-0224
Practice Address - Fax:425-962-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health