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Magnolia Lane LLC

Q: What type of organization is Magnolia Lane LLC?

Magnolia Lane LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

Assisted Living Facility in Fayetteville, NC · enumerated 2008 · authorized official Judy Tew, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740466937

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Magnolia Lane LLC

Other name <Unavail>

Practice address 3510 Camden Rd, Fayetteville, NC, 28306

Phone (910) 425-8751

Fax (910) 644-1257

Enumeration date Jan 17, 2008

Last updated in NPPES Jan 17, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License SCL026031 (NC) Primary

Authorized official

Name Judy Tew

Title Administrator

Phone (910) 425-8751

Other identifiers

Identifier	Type	State	Issuer
7805591	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Magnolia Lane LLC?

Magnolia Lane LLC is registered in NPPES as a Assisted Living Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-17.