MAGNOLIA GARDENS
NPI 1184962003
Assisted Living Facility in Pinellas Park, FL
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 holds a CLIA Waiver certificate valid through August 19, 2027 and lists Lisa Elliott, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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, FLFrequently 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.
Does Palm Lake Village Housing Corporation 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 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 7 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.
# Magnolia Gardens · NPI 1184962003
Assisted Living Facility organization in Pinellas Park, Florida. Organization record, active in the CMS NPPES registry since January 28, 2013.
## Identity
- **NPI:** 1184962003 (Entity type: Organization)
- **Enumerated:** January 28, 2013
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Palm Lake Village Housing Corporation
- **Organization subpart:** No
- **Authorized official:** Lisa Elliott, ADMINISTRATOR
## Practice location
- **Address:** 3800 62ND AVE N, Pinellas Park, FL 33781-6055
- **Phone:** (727) 489-6440
## Record status
- **NPPES last updated:** September 5, 2019
- **Other identifiers:** Medicaid 001645100 (FL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1184962003) · Data from the CMS NPPES public registry.