Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memory Lane Cottage at Tampa Palms, LLC

Organization Assisted Living Facility · NPI 1740664887

Memory Lane Cottage at Tampa Palms, LLC is an Assisted Living Facility in Tampa, Florida. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5175 Cypress Preserve Dr
Tampa, FL 33647-3674
Phone: (813) 632-1270
Fax: (813) 632-1272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1740664887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Irish — Administrator · (813) 632-1270
Other names Memory Lane Cottage
NPI enumeratedJuly 18, 2015
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address5175 Cypress Preserve Dr, Tampa, FL 33647-3674

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