MAGNOLIA GARDENS
NPI 1184962003
Assisted Living Facility in Pinellas Park, FL

Q: What is Palm Lake Village Housing Corporation's specialty?

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

Active since January 28, 2013

3800 62ND AVE N, PINELLAS PARK, FL 33781(727) 489-6440 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Magnolia Gardens NPPES

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

MAGNOLIA GARDENS (NPI 1184962003) is a healthcare organization registered as an assisted living facility in Pinellas Park, Florida and active in the NPI registry since January 2013. The organization lists Lisa Elliott, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184962003

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePALM LAKE VILLAGE HOUSING CORPORATION

Location Address3800 62ND AVE NPinellas Park, FL 33781-6055

Mailing Address3800 62nd Ave NPinellas Park, FL 33781-6055 · (727) 489-6440

Phone(727) 489-6440

Organization SubpartNo

Authorized OfficialLisa ElliottAdministrator · (727) 489-6440

Enumeration DateJanuary 28, 2013

Last NPPES UpdateSeptember 5, 2019

✔ NPI 1184962003 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 · AL10314

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 N, Pinellas Park, FL 33781

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Other Names 1

Doing Business AsMagnolia Gardens

Other Identifiers 1

Medicaid001645100FL

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 Palm Lake Village Housing Corporation's NPI number?

The NPI number for Palm Lake Village Housing Corporation is 1184962003. It was assigned to this organization in the NPPES registry on January 28, 2013. The provider is doing business as Magnolia Gardens.

Where is Palm Lake Village Housing Corporation located?

Palm Lake Village Housing Corporation is located at 3800 62nd Ave N, Pinellas Park, FL 33781. The listed phone number is (727) 489-6440.

What is Palm Lake Village Housing Corporation'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 Palm Lake Village Housing Corporation was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.