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1 Magnolia Drive Operations LLC

Skilled Nursing Facility in La Plata, MD · enumerated 2007 · authorized official Michael Berg, Assistant Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033391503

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Registry record

Entity type Organization (Type 2)
Legal business name 1 Magnolia Drive Operations LLC
Other name <Unavail>
Practice address 1 Magnolia Dr, La Plata, MD, 20646
Phone (301) 934-4001
Fax (301) 934-6373
Enumeration date Nov 27, 2007
Last updated in NPPES Aug 14, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 08-005 (MD) Primary

Authorized official

Name Michael Berg
Title Assistant Secretary
Phone (505) 468-4752

Other identifiers

Identifier Type State Issuer
413990900 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-14. Verify at npiregistry.cms.hhs.gov.
Where is 1 Magnolia Drive Operations LLC located?
The practice location on file with NPPES is in La Plata, MD.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-14.