MAGNOLIA LANE LLC
NPI 1740466937
Assisted Living Facility in Fayetteville, NC

Q: What is Magnolia Lane LLC's NPI number?

The NPI number for Magnolia Lane LLC is 1740466937. It was assigned to this organization in the NPPES registry on January 17, 2008. The provider was formerly known as Forest Hill Group Home.

Q: What is Magnolia Lane LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Magnolia Lane LLC was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 17, 2008

3510 CAMDEN RD, FAYETTEVILLE, NC 28306(910) 425-8751(910) 644-1257 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Magnolia Lane Llc NPPES

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

MAGNOLIA LANE LLC (NPI 1740466937), doing business as Forest Hill Group Home, is a healthcare organization registered as an assisted living facility in Fayetteville, North Carolina and active in the NPI registry since January 2008. The organization lists Judy B Tew, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740466937

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAGNOLIA LANE LLC

Location Address3510 CAMDEN RDFayetteville, NC 28306-7717

Mailing Address3510 Camden RdFayetteville, NC 28306-7717 · (910) 425-8751 · Fax (910) 644-1257

Phone(910) 425-8751

Fax(910) 644-1257

Organization SubpartNo

Authorized OfficialJudy B TewAdministrator · (910) 425-8751

Enumeration DateJanuary 17, 2008

✔ NPI 1740466937 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 NC · SCL026031

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.

3510 CAMDEN RD, Fayetteville, NC 28306

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Other Names 1

Former Legal Business NameForest Hill Group Home

Other Identifiers 1

Medicaid7805591NC

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 Lane LLC's NPI number?

The NPI number for Magnolia Lane LLC is 1740466937. It was assigned to this organization in the NPPES registry on January 17, 2008. The provider was formerly known as Forest Hill Group Home.

Where is Magnolia Lane LLC located?

Magnolia Lane LLC is located at 3510 Camden Rd, Fayetteville, NC 28306. The listed phone number is (910) 425-8751.

What is Magnolia Lane LLC'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 Magnolia Lane LLC was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.