MEMORY LANE COTTAGE AT OVIEDO, LLC
NPI 1861917171
Assisted Living Facility in Oviedo, FL
About Memory Lane Cottage At Oviedo, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORY LANE COTTAGE AT OVIEDO, LLC (NPI 1861917171) is a healthcare organization registered as an assisted living facility in Oviedo, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists Kelly Jean Irish, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2203608
Memory Lane Cottage Oviedo · Oviedo, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Oviedo, LLC's NPI number?
The NPI number for Memory Lane Cottage At Oviedo, LLC is 1861917171. It was assigned to this organization in the NPPES registry on August 8, 2017.
Where is Memory Lane Cottage At Oviedo, LLC located?
Memory Lane Cottage At Oviedo, LLC is located at 450 Oviedo Blvd, Oviedo, FL 32765. The listed phone number is (407) 366-2770.
What is Memory Lane Cottage At Oviedo, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Memory Lane Cottage At Oviedo, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2203608) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Memory Lane Cottage At Oviedo, LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Memory Lane Cottage At Oviedo, Llc · NPI 1861917171
Assisted Living Facility organization in Oviedo, Florida. Organization record, active in the CMS NPPES registry since August 8, 2017.
## Identity
- **NPI:** 1861917171 (Entity type: Organization)
- **Enumerated:** August 8, 2017
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Kelly Irish, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 450 OVIEDO BLVD, Oviedo, FL 32765-3508
- **Phone:** (407) 366-2770
## Record status
- **NPPES last updated:** November 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861917171) · Data from the CMS NPPES public registry.