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MAGNOLIA GARDENS ALF
NPI 1063634517
Assisted Living Facility in Pinellas Park, FL

Active since May 03, 2007CLIA 10D2233168 · Waiver
3800 62ND AVE NORTH, PINELLAS PARK, FL 33781(727) 489-6440(727) 489-6452 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Gardens Alf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA GARDENS ALF (NPI 1063634517) is a healthcare organization registered as an assisted living facility in Pinellas Park, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Doug Hadley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063634517
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePINELLAS COUNTY HOUSING AUTHORITY
Location Address3800 62ND AVE NORTHPinellas Park, FL 33781
Mailing Address3800 62nd Ave NorthPinellas Park, FL 33781 · (727) 489-6440 · Fax (727) 489-6452
Phone(727) 489-6440
Fax(727) 489-6452
Organization SubpartNo
Authorized OfficialDoug HadleyAdministrator · (727) 489-6440
Enumeration DateMay 3, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1063634517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · ALF10314
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3800 62ND AVE NORTH, Pinellas Park, FL 33781
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Other Names 1

Doing Business AsMagnolia Gardens Alf

Other Identifiers 2

Medicaid685931300FL
Medicaid142022400FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233168

Palm Lake Village Housing Corp Dba Magnolia Gardens Alf · Pinellas Park, FL
Active · expires Aug 19, 2027
CLIA Number10D2233168
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDeborah L. Clark
Laboratory Phone(727) 489-6440
Laboratory LocationPalm Lake Village Housing Corp Dba Magnolia Gardens Alf3800 62nd Ave N, Pinellas Park, FL 33781
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinellas County Housing Authority's NPI number?

The NPI number for Pinellas County Housing Authority is 1063634517. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Magnolia Gardens Alf.

Where is Pinellas County Housing Authority located?

Pinellas County Housing Authority is located at 3800 62nd Ave North, Pinellas Park, FL 33781. The listed phone number is (727) 489-6440.

What is Pinellas County Housing Authority's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Pinellas County Housing Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233168) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinellas County Housing Authority was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.