Magnolia Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAGNOLIA SENIOR LIVING

Practice address

3935 Upper Creek Dr
Sun City Center, FL 33573-6876

Phone

(813) 213-8967

Fax

(813) 535-7990

NPI assigned

Nov 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Wanda Blakey, LPN

Title

LPN/Executive Director

Phone

(813) 213-8967

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1437796265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736876",
            "telephone_number": "813-213-8967",
            "fax_number": "813-535-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736876",
            "telephone_number": "813-213-8967",
            "fax_number": "813-535-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BLAKEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "LPN/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-213-8967",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wanda@magnoliasrliving.com",
            "affiliation": "N",
            "address_1": "3935 Upper Creek Dr",
            "city": "Sun City Center",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335736876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Emily Suzanne Maguire, OTR/L
• John J Mahany Jr., PA C
• Harry Richard Mahew Jr., RPH
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• Manatee Hearing & Speech Center Inc

• Assisted Living Facility in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.