MAGNOLIA MANOR ASSISTED LIVING, INC.
NPI 1982951067
Assisted Living Facility in Lutz, FL
About Magnolia Manor Assisted Living, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA MANOR ASSISTED LIVING, INC. (NPI 1982951067) is a healthcare organization registered as an assisted living facility in Lutz, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Barbara Keithly, President, 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 10D2202635
Magnolia Manor Assisted Living Inc · Lutz, 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 Magnolia Manor Assisted Living, Inc.'s NPI number?
The NPI number for Magnolia Manor Assisted Living, Inc. is 1982951067. It was assigned to this organization in the NPPES registry on August 8, 2012.
Where is Magnolia Manor Assisted Living, Inc. located?
Magnolia Manor Assisted Living, Inc. is located at 17420 Old Tobacco Rd, Lutz, FL 33558. The listed phone number is (813) 918-0588.
What is Magnolia Manor Assisted Living, Inc.'s specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Magnolia Manor Assisted Living, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2202635) is associated with this NPI, valid through November 29, 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 Magnolia Manor Assisted Living, Inc. was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
