MAGNOLIA MANOR
NPI 1164418554
Skilled Nursing Facility in Groves, TX
About Magnolia Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA MANOR (NPI 1164418554) is a healthcare organization registered as a skilled nursing facility in Groves, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Robin Underhill, Chief Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
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 45D0968448
Magnolia Manor · Groves, TXOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cresthaven Health Care Center Ltd Co's NPI number?
The NPI number for Cresthaven Health Care Center Ltd Co is 1164418554. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Magnolia Manor.
Where is Cresthaven Health Care Center Ltd Co located?
Cresthaven Health Care Center Ltd Co is located at 4400 Gulf Ave, Groves, TX 77619. The listed phone number is (409) 962-5785.
What is Cresthaven Health Care Center Ltd Co's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Cresthaven Health Care Center Ltd Co hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0968448) is associated with this NPI, valid through December 12, 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 Cresthaven Health Care Center Ltd Co was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.