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

Palm Lake Village Housing Corporation

Organization Assisted Living Facility · NPI 1184962003

Palm Lake Village Housing Corporation is an Assisted Living Facility in Pinellas Park, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

3800 62nd Ave N
Pinellas Park, FL 33781-6055
Phone: (727) 489-6440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL10314 (FL)

Record details

NPI number1184962003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Elliott — Administrator · (727) 489-6440
Other names Magnolia Gardens; Magnolia Gardens
NPI enumeratedJanuary 28, 2013
Last updated in NPPESSeptember 5, 2019
Mailing address3800 62nd Ave N, Pinellas Park, FL 33781-6055

Other providers in Pinellas Park