Memory Lane Assisted Living, LLC
NPI 1063940732 · Assisted Living Facility · Magnolia, TX
Memory Lane Assisted Living, LLC is a Assisted Living Facility organization in Magnolia, TX (NPI 1063940732).
Provider details
- NPI number
- 1063940732
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ada Fiscu, Dsn/ Administrator(832) 627-6918
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 32802 Wright RdMagnolia, TX 77355-8456Phone: (281) 259-9657Fax: (281) 259-2936
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2022-07-21
Frequently asked questions
- What is Memory Lane Assisted Living, LLC's NPI number?
- Memory Lane Assisted Living, LLC's National Provider Identifier (NPI) is 1063940732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memory Lane Assisted Living, LLC?
- Memory Lane Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Memory Lane Assisted Living, LLC located?
- Memory Lane Assisted Living, LLC's practice location on file with NPPES is 32802 Wright Rd, Magnolia, TX 77355-8456.
- What is Memory Lane Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Memory Lane Assisted Living, LLC is (281) 259-9657.
- Who is the authorized official for Memory Lane Assisted Living, LLC?
- The authorized official listed on Memory Lane Assisted Living, LLC's NPPES record is Ada Fiscu, Dsn/ Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memory Lane Assisted Living, LLC's NPI active?
- Yes — Memory Lane Assisted Living, LLC's NPI (1063940732) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.