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MAGNOLIA SENIOR LIVING
NPI 1437796265
Assisted Living Facility in Sun City Center, FL

Active since November 27, 2019CLIA 10D2208165 · Waiver
3935 UPPER CREEK DR, SUN CITY CENTER, FL 33573(813) 213-8967(813) 535-7990 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Senior Living NPPES

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

MAGNOLIA SENIOR LIVING (NPI 1437796265) is a healthcare organization registered as an assisted living facility in Sun City Center, Florida and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Wanda Blakey, Lpn/executive Director, as its authorized official.

NPPES Registry Identity

NPI1437796265
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA SENIOR LIVING
Location Address3935 UPPER CREEK DRSun City Center, FL 33573-6876
Mailing Address3935 Upper Creek DrSun City Center, FL 33573-6876 · (813) 213-8967 · Fax (813) 535-7990
Phone(813) 213-8967
Fax(813) 535-7990
Organization SubpartNo
Authorized OfficialWanda BlakeyLpn/executive Director · (813) 213-8967
Enumeration DateNovember 27, 2019
✔ NPI 1437796265 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.
3935 UPPER CREEK DR, Sun City Center, FL 33573
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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 10D2208165

Magnolia Senior Living · Sun City Center, FL
Active · expires Jan 4, 2027
CLIA Number10D2208165
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorSamantha Patterson
Laboratory Phone(813) 340-1085
Laboratory LocationMagnolia Senior Living3935 Upper Creek Dr, Sun City Center, FL 33573
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

FLORIDA PHYSICAL THERAPY SERVICES OF ORLANDO, LLC
Physical Therapist
3935 UPPER CREEK DR
SUN CITY CENTER, FL 33573
Hillsborough County (321) 234-0373
ALLISON LYLE
Physical Therapist
3935 UPPER CREEK DR
SUN CITY CENTER, FL 33573
Hillsborough County (407) 201-0270
JAKE CALTRIDER
Physical Therapist
3935 UPPER CREEK DR
SUN CITY CENTER, FL 33573
Hillsborough County (561) 339-0446

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 Magnolia Senior Living's NPI number?

The NPI number for Magnolia Senior Living is 1437796265. It was assigned to this organization in the NPPES registry on November 27, 2019.

Where is Magnolia Senior Living located?

Magnolia Senior Living is located at 3935 Upper Creek Dr, Sun City Center, FL 33573. The listed phone number is (813) 213-8967.

What is Magnolia Senior Living's specialty?

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

Does Magnolia Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2208165) is associated with this NPI, valid through January 4, 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 Magnolia Senior Living was last updated on November 27, 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.