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MAGNOLIA RETIREMENT HOME INC
NPI 1922307586
Assisted Living Facility in Sebring, FL

Active since March 22, 2011
149 MAGNOLIA AVE, SEBRING, FL 33870(863) 382-2116(863) 382-2117 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Retirement Home Inc NPPES

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

MAGNOLIA RETIREMENT HOME INC (NPI 1922307586) is a healthcare organization registered as an assisted living facility in Sebring, Florida and active in the NPI registry since March 2011. The organization lists Manuel M Domisiw, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1922307586
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA RETIREMENT HOME INC
Location Address149 MAGNOLIA AVESebring, FL 33870-3613
Mailing Address149 Magnolia AveSebring, FL 33870-3613 · (863) 382-2116 · Fax (863) 382-2117
Phone(863) 382-2116
Fax(863) 382-2117
Organization SubpartNo
Authorized OfficialManuel M DomisiwOwner/administrator · (863) 382-2116
Enumeration DateMarch 22, 2011
✔ NPI 1922307586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL4947
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.
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License AL4947 (FL)
149 MAGNOLIA AVE, Sebring, FL 33870
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Other Identifiers 1

Medicaid140646900FL

Other Providers at the Same Location NPPES 2

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

SERENITY 2 LLC
Assisted Living Facility (Assisted Living, Mental Illness)
149 MAGNOLIA AVE
SEBRING, FL 33870
Highlands County (917) 586-9756
JACEK DYGDON
Assisted Living Facility (Assisted Living, Mental Illness)
149 MAGNOLIA AVE
SEBRING, FL 33870
Highlands County (321) 696-9464

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 Retirement Home Inc's NPI number?

The NPI number for Magnolia Retirement Home Inc is 1922307586. It was assigned to this organization in the NPPES registry on March 22, 2011.

Where is Magnolia Retirement Home Inc located?

Magnolia Retirement Home Inc is located at 149 Magnolia Ave, Sebring, FL 33870. The listed phone number is (863) 382-2116.

What is Magnolia Retirement Home Inc'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 Retirement Home Inc was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.