Palm Lake Village Housing Corporation
NPI 1184962003 · Assisted Living Facility · Pinellas Park, FL
Palm Lake Village Housing Corporation is a Assisted Living Facility organization in Pinellas Park, FL (NPI 1184962003).
Provider details
- NPI number
- 1184962003
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Elliott, Administrator(727) 489-6440
- License
- AL10314 (FL)
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
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Magnolia Gardens
- Doing business as
- Magnolia Gardens
Registry dates
- Enumerated
- 2013-01-28
- Last updated
- 2019-09-05
Frequently asked questions
- What is Palm Lake Village Housing Corporation's NPI number?
- Palm Lake Village Housing Corporation's National Provider Identifier (NPI) is 1184962003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palm Lake Village Housing Corporation?
- Palm Lake Village Housing Corporation is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Palm Lake Village Housing Corporation located?
- Palm Lake Village Housing Corporation's practice location on file with NPPES is 3800 62nd Ave N, Pinellas Park, FL 33781-6055.
- What is Palm Lake Village Housing Corporation's phone number?
- The practice phone number listed in the NPPES registry for Palm Lake Village Housing Corporation is (727) 489-6440.
- Who is the authorized official for Palm Lake Village Housing Corporation?
- The authorized official listed on Palm Lake Village Housing Corporation's NPPES record is Lisa Elliott, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palm Lake Village Housing Corporation's NPI active?
- Yes — Palm Lake Village Housing Corporation's NPI (1184962003) is active in the NPPES registry as of the last update on 2019-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.