OrganizationActive
Annies Alf at Magnolia Manor
NPI 1114814803 · Assisted Living Facility · Lutz, FL
Annies Alf at Magnolia Manor is a Assisted Living Facility organization in Lutz, FL (NPI 1114814803).
Provider details
- NPI number
- 1114814803
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Latonia Boykins, Administrator(813) 494-7116
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
17420 Old Tobacco Rd
Lutz, FL 33558-4979
Phone: (813) 918-0588
Fax: (813) 264-1710
Street-level locationGet directions
Mailing address
13444 Canopy Creek Dr
Tampa, FL 33625-5916
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Annies Alf at Magnolia Manor's NPI number?
- Annies Alf at Magnolia Manor's National Provider Identifier (NPI) is 1114814803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Annies Alf at Magnolia Manor?
- Annies Alf at Magnolia Manor is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Annies Alf at Magnolia Manor located?
- Annies Alf at Magnolia Manor's practice location on file with NPPES is 17420 Old Tobacco Rd, Lutz, FL 33558-4979.
- What is Annies Alf at Magnolia Manor's phone number?
- The practice phone number listed in the NPPES registry for Annies Alf at Magnolia Manor is (813) 918-0588.
- Who is the authorized official for Annies Alf at Magnolia Manor?
- The authorized official listed on Annies Alf at Magnolia Manor's NPPES record is Latonia Boykins, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Annies Alf at Magnolia Manor's NPI active?
- Yes — Annies Alf at Magnolia Manor's NPI (1114814803) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.