Magnolia Lane LLC
NPI 1740466937 · Assisted Living Facility · Fayetteville, NC
Magnolia Lane LLC is a Assisted Living Facility organization in Fayetteville, NC (NPI 1740466937).
Provider details
- NPI number
- 1740466937
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Judy Tew, Administrator(910) 425-8751
- License
- SCL026031 (NC)
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
18 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)
- Former legal business name
- Forest Hill Group Home
Registry dates
- Enumerated
- 2008-01-17
- Last updated
- 2008-01-17
Frequently asked questions
- What is Magnolia Lane LLC's NPI number?
- Magnolia Lane LLC's National Provider Identifier (NPI) is 1740466937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Lane LLC?
- Magnolia Lane LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Magnolia Lane LLC located?
- Magnolia Lane LLC's practice location on file with NPPES is 3510 Camden Rd, Fayetteville, NC 28306-7717.
- What is Magnolia Lane LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Lane LLC is (910) 425-8751.
- Who is the authorized official for Magnolia Lane LLC?
- The authorized official listed on Magnolia Lane LLC's NPPES record is Judy Tew, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Lane LLC's NPI active?
- Yes — Magnolia Lane LLC's NPI (1740466937) is active in the NPPES registry as of the last update on 2008-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.