Magdala Foundation
Magdala Foundation is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Saint Louis, MO, holding Type 2 (organization) NPI 1962576033 since 2006. The authorized official on file is Thomas Mangogna, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962576033 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Magdala Foundation |
| Practice address | 3148 S KINGSHIGHWAY BLVD, Saint Louis, MO, 63139 |
| Phone | 3145719950 |
| Enumeration date | 2006-11-20 |
| Last updated in NPPES | 2024-07-11 |
Authorized official
| Name | Thomas Mangogna |
|---|---|
| Title | President/Ceo |
| Phone | 3146526004 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA0600X | Adult Day Care Clinic/Center | Secondary | — | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Secondary | 2452-10039 | MO |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Secondary | 2452-10040 | MO |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Secondary | 2452-10041 | MO |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Secondary | 2452, 1460-7235 | MO |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 2452-10042 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852098805 | Medicaid | MO | — |
| 112364401 | Medicaid | MO | — |
| 112364500 | Medicaid | MO | — |
| 112182704 | Medicaid | MO | — |
| 112182605 | Medicaid | MO | — |
Copy-ready billing details
Provider: Magdala Foundation NPI: 1962576033 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 3148 S KINGSHIGHWAY BLVD, Saint Louis, MO, 63139
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689187981 | Lawrence Wilfong | Individual | Occupational Therapy Assistant | Saint Louis, MO |
| 1437640802 | Michael Fallwell | Individual | Occupational Therapist | Saint Louis, MO |
Verify this record
Cross-check NPI 1962576033 against the authoritative CMS record: view Magdala Foundation 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 Magdala Foundation?
What is the NPI number for Magdala Foundation?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-07-11.