MAGNOLA MANOR AT DAYTONA BEACH, LLC
NPI 1134675234
Assisted Living Facility in Daytona Beach, FL

Q: What is Magnola Manor At Daytona Beach, LLC's NPI number?

The NPI number for Magnola Manor At Daytona Beach, LLC is 1134675234. It was assigned to this organization in the NPPES registry on August 29, 2016.

Q: What is Magnola Manor At Daytona Beach, LLC's specialty?

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

Active since August 29, 2016

252 FOREST LAKE BLVD, DAYTONA BEACH, FL 32119(863) 226-0358 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2022, Jan 26, 2022, Aug 29, 2016 (3 updates tracked since 2016).

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About Magnola Manor At Daytona Beach, Llc NPPES

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

MAGNOLA MANOR AT DAYTONA BEACH, LLC (NPI 1134675234) is a healthcare organization registered as an assisted living facility in Daytona Beach, Florida and active in the NPI registry since August 2016. The organization lists Savitri Johnson, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1134675234

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAGNOLA MANOR AT DAYTONA BEACH, LLC

Location Address252 FOREST LAKE BLVDDaytona Beach, FL 32119-8106

Mailing Address59 Lake Morton DrLakeland, FL 33801-5344

Phone(863) 226-0358

Organization SubpartNo

Authorized OfficialSavitri JohnsonAdministrative Assistant · (863) 226-0358

Enumeration DateAugust 29, 2016

Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1134675234 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 · AL8869

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.

252 FOREST LAKE BLVD, Daytona Beach, FL 32119

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Other Providers at the Same Location NPPES 2

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

VERITAS INCARE, LLC

Assisted Living Facility

252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119

Volusia County (386) 760-7174

SELAH - FOREST LAKE MANOR, LLC

Assisted Living Facility

252 FOREST LAKE BLVD
DAYTONA BEACH, FL 32119

Volusia County (386) 760-7174

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 Magnola Manor At Daytona Beach, LLC's NPI number?

The NPI number for Magnola Manor At Daytona Beach, LLC is 1134675234. It was assigned to this organization in the NPPES registry on August 29, 2016.

Where is Magnola Manor At Daytona Beach, LLC located?

Magnola Manor At Daytona Beach, LLC is located at 252 Forest Lake Blvd, Daytona Beach, FL 32119. The listed phone number is (863) 226-0358.

What is Magnola Manor At Daytona Beach, LLC'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 Magnola Manor At Daytona Beach, LLC was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.