MEMORY LANE COTTAGE
NPI 1740664887
Assisted Living Facility in Tampa, FL

Active since July 18, 2015
5175 CYPRESS PRESERVE DR, TAMPA, FL 33647(813) 632-1270(813) 632-1272 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memory Lane Cottage NPPES

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

MEMORY LANE COTTAGE (NPI 1740664887) is a healthcare organization registered as an assisted living facility in Tampa, Florida and active in the NPI registry since July 2015. The organization lists Kelly Jean Irish, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740664887
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEMORY LANE COTTAGE AT TAMPA PALMS, LLC
Location Address5175 CYPRESS PRESERVE DRTampa, FL 33647-3674
Mailing Address5175 Cypress Preserve DrTampa, FL 33647-3674 · (813) 632-1270 · Fax (813) 632-1272
Fax(813) 632-1272
Organization SubpartNo
Authorized OfficialKelly Jean IrishAdministrator · (813) 632-1270
Enumeration DateJuly 18, 2015
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1740664887 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.
5175 CYPRESS PRESERVE DR, Tampa, FL 33647

Other Names 1

Doing Business AsMemory Lane Cottage

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 Memory Lane Cottage At Tampa Palms, LLC's NPI number?

The NPI number for Memory Lane Cottage At Tampa Palms, LLC is 1740664887. It was assigned to this organization in the NPPES registry on July 18, 2015. The provider is doing business as Memory Lane Cottage.

Where is Memory Lane Cottage At Tampa Palms, LLC located?

Memory Lane Cottage At Tampa Palms, LLC is located at 5175 Cypress Preserve Dr, Tampa, FL 33647. The listed phone number is (813) 632-1270.

What is Memory Lane Cottage At Tampa Palms, 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 Memory Lane Cottage At Tampa Palms, LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.