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MAGNOLIA BRIDGE LLC
NPI 1649021114
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clearwater, FL

Active since April 01, 2024
1567 HUNTINGTON LN, CLEARWATER, FL 33755(727) 225-4305 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Bridge Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA BRIDGE LLC (NPI 1649021114) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Clearwater, Florida and active in the NPI registry since April 2024. The organization lists Jasmine Marie Fisher, Manager, as its authorized official.

NPPES Registry Identity

NPI1649021114
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMAGNOLIA BRIDGE LLC
Location Address1567 HUNTINGTON LNClearwater, FL 33755-1338
Mailing Address1345 Sandy LnClearwater, FL 33755-2042 · (727) 225-4305
Phone(727) 225-4305
Organization SubpartNo
Authorized OfficialJasmine Marie FisherManager · (727) 225-4305
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1649021114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
1567 HUNTINGTON LN, Clearwater, FL 33755
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Bridge LLC's NPI number?

The NPI number for Magnolia Bridge LLC is 1649021114. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Magnolia Bridge LLC located?

Magnolia Bridge LLC is located at 1567 Huntington Ln, Clearwater, FL 33755. The listed phone number is (727) 225-4305.

What is Magnolia Bridge LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Magnolia Bridge LLC was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.