MAGNOLIA MEADOWS LLC
NPI 1487335857
Psychiatric Residential Treatment Facility in Waverly, TN

Active since July 28, 2023CLIA 44D2301779 · Waiver
1750 HALLS CREEK RD, WAVERLY, TN 37185(941) 391-7261 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Aug 25, 2023, Jul 28, 2023 (3 updates tracked since 2023).

About Magnolia Meadows Llc NPPES

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

MAGNOLIA MEADOWS LLC (NPI 1487335857) is a healthcare organization registered as a psychiatric residential treatment facility in Waverly, Tennessee and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Connie Mazza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487335857
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameMAGNOLIA MEADOWS LLC
Location Address1750 HALLS CREEK RDWaverly, TN 37185-3718
Mailing Address1750 Halls Creek RdWaverly, TN 37185-3718 · (941) 391-7261
Organization SubpartNo
Authorized OfficialConnie MazzaCeo · (615) 618-2243
Enumeration DateJuly 28, 2023
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1487335857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1750 HALLS CREEK RD, Waverly, TN 37185

Other Names 1

Former Legal Business NameMagnolia Meadows Llc

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 44D2301779

Magnolia Meadows, LLC · Waverly, TN
Active · expires Mar 31, 2028
CLIA Number44D2301779
Laboratory TypeBehavioral Health Residen
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorBrittany Hines
Laboratory Phone(615) 593-7208
Laboratory LocationMagnolia Meadows, LLC1750 Halls Creek Rd, Waverly, TN 37185
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

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

Counselor (Professional)
1750 HALLS CREEK RD
WAVERLY, TN 37185

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 Meadows LLC's NPI number?

The NPI number for Magnolia Meadows LLC is 1487335857. It was assigned to this organization in the NPPES registry on July 28, 2023.

Where is Magnolia Meadows LLC located?

Magnolia Meadows LLC is located at 1750 Halls Creek Rd, Waverly, TN 37185. The listed phone number is (941) 391-7261.

What is Magnolia Meadows LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Magnolia Meadows LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2301779) is associated with this NPI, valid through March 31, 2028. 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 Meadows LLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.