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ANNIES ALF AT MAGNOLIA MANOR
NPI 1114814803
Assisted Living Facility in Lutz, FL

Active since June 23, 2025
17420 OLD TOBACCO RD, LUTZ, FL 33558(813) 918-0588(813) 264-1710 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annies Alf At Magnolia Manor NPPES

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

ANNIES ALF AT MAGNOLIA MANOR (NPI 1114814803) is a healthcare organization registered as an assisted living facility in Lutz, Florida and active in the NPI registry since June 2025. The organization lists Latonia Boykins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114814803
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameANNIES ALF AT MAGNOLIA MANOR
Location Address17420 OLD TOBACCO RDLutz, FL 33558-4979
Mailing Address13444 Canopy Creek DrTampa, FL 33625-5916 · (813) 494-7116
Phone(813) 918-0588
Fax(813) 264-1710
Organization SubpartNo
Authorized OfficialLatonia BoykinsAdministrator · (813) 494-7116
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1114814803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
17420 OLD TOBACCO RD, Lutz, FL 33558
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGNOLIA MANOR ASSISTED LIVING, INC.
Assisted Living Facility
17420 OLD TOBACCO RD
LUTZ, FL 33558
Hillsborough County (813) 918-0588

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 Annies Alf At Magnolia Manor's NPI number?

The NPI number for Annies Alf At Magnolia Manor is 1114814803. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is Annies Alf At Magnolia Manor located?

Annies Alf At Magnolia Manor is located at 17420 Old Tobacco Rd, Lutz, FL 33558. The listed phone number is (813) 918-0588.

What is Annies Alf At Magnolia Manor's specialty?

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

When was this NPI record last updated?

The NPPES record for Annies Alf At Magnolia Manor was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.