OrganizationActive
Lavender Mountain Senior Living, Inc.
NPI 1124633268 · Skilled Nursing Facility · Rome, GA
Provider details
- NPI number
- 1124633268
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nick Lancaster, Administrator(170) 672-8360
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs 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
500 Eagle Lake Trl
Rome, GA 30165-2246
Phone: (706) 728-3600
Approximate (ZIP-level) locationGet directions
Mailing address
600 Eagle Lake Trl
Rome, GA 30165-2207
Other names (DBA / former)
- Doing business as
- Magnolia Place Nursing and Rehabilitation
Registry dates
- Enumerated
- 2020-09-15
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.