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PINELLAS COUNTY HOUSING AUTHORITY NPI 1063634517


NPI Information

NPI: 1063634517
Provider Name: PINELLAS COUNTY HOUSING AUTHORITY

Doing Business As: MAGNOLIA GARDENS ALF

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3800 62ND AVE NORTH
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 489-6440
Get Directions

PINELLAS COUNTY HOUSING AUTHORITY is an assisted living facility in Pinellas Park, FL. The provider is 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. PINELLAS COUNTY HOUSING AUTHORITY NPI is 1063634517. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Gardens Alf.

The provider's business location address is:

3800 62ND AVE NORTH
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 489-6440
Fax: (727) 489-6452

The provider's authorized official is Doug Hadley .
The authorized official title is Administrator and has the following contact phone number (727) 489-6440.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 6/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALF10314FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1685931300MEDICAIDFLORIDA
2142022400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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