Magnolia Gardens LLC
Magnolia Gardens LLC is a healthcare organization registered as Skilled Nursing Facility in Lanham, MD, holding Type 2 (organization) NPI 1891737573 since 2006. The authorized official on file is Michael Berg, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891737573 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Magnolia Gardens LLC |
| Practice address | 6710 MALLERY DR, Lanham, MD, 20706 |
| Phone | 3015522000 |
| Enumeration date | 2006-06-10 |
| Last updated in NPPES | 2025-06-23 |
Authorized official
| Name | Michael Berg |
|---|---|
| Title | Secretary |
| Phone | 5054684752 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Secondary | 16011 | MD |
| 314000000X | Skilled Nursing Facility | Primary | 16-011 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0529622 | Other | — | AENTA-HMO |
| 08952 | Other | — | AMERIGROUP |
| 7100074 | Other | — | UNITED - AMERICHOICE |
| 345178 | Other | — | UNITED - MAMSI |
| 818989700 | Medicaid | MD | — |
| HV1 | Other | — | CAREFIRST BLUECHOICE |
| 028F | Other | — | CAREFIRST PROV/INQ# |
| HV1 | Other | — | CAREFIRST IND/PPO |
Copy-ready billing details
Provider: Magnolia Gardens LLC NPI: 1891737573 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 6710 MALLERY DR, Lanham, MD, 20706
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598682577 | Emily Deluca | Individual | Speech-Language Pathologist | Lanham, MD |
| 1316263692 | Ahsan Afzal | Individual | Family Medicine Physician | Lanham, MD |
| 1881065282 | Ashlie Williams | Individual | Physical Therapist | Lanham, MD |
| 1720443450 | Elizabeth Campos | Individual | Student in an Organized Health Care Education/Training Program | Lanham, MD |
| 1093170441 | Donald Smith | Individual | Physical Therapy Assistant | Lanham, MD |
| 1932556040 | Jason Root | Individual | Physical Therapy Assistant | Lanham, MD |
| 1346699071 | Magnolia Gardens LLC | Organization | Physical Therapist | Lanham, MD |
| 1285183426 | Donna Opeikun | Individual | Occupational Therapist | Lanham, MD |
Verify this record
Cross-check NPI 1891737573 against the authoritative CMS record: view Magnolia Gardens LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Magnolia Gardens LLC?
What is the NPI number for Magnolia Gardens LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-23.