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Contact Information

SWEETBAY MAGNOLIA SHARED LIVING LLC
42639 REMINISCENT LN
STE B
MAGNOLIA, TX77354
 Phone: 314-518-8991
 Fax: 205-651-8099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for SWEETBAY MAGNOLIA SHARED LIVING LLC

NPI # 1003784471
LBN Legal business name SWEETBAY MAGNOLIA SHARED LIVING LLC
Authorized official ANDREA VINCENT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2025
Last updated 11/12/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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