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MAGNOLIA MANOR INC. NPI 1164863338


NPI Information

NPI: 1164863338
Provider Name: MAGNOLIA MANOR, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
926 S MYRTLE AVE
CLEARWATER, FL
ZIP 33756
Phone: (727) 445-1268
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MAGNOLIA MANOR, INC. is an assisted living facility in Clearwater, 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. MAGNOLIA MANOR, INC. NPI is 1164863338. The provider is registered as an organization entity type.

The provider's business location address is:

926 S MYRTLE AVE
CLEARWATER, FL
ZIP 33756-918
Phone: (727) 445-1268

The provider's authorized official is Patrick Shaughnessy .
The authorized official title is President and has the following contact phone number (727) 410-1331.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.


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 FacilityAL8539FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.