MAGGORIE SHORES HOME LLC
NPI 1770016701
Assisted Living Facility - Assisted Living, Behavioral Disturbances in St Petersburg, FL

Q: What is Maggorie Shores Home LLC's NPI number?

The NPI number for Maggorie Shores Home LLC is 1770016701. It was assigned to this organization in the NPPES registry on April 6, 2017.

Q: What is Maggorie Shores Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since April 06, 2017

5566 MARTIN LUTHER KING ST S, ST PETERSBURG, FL 33705(727) 434-1828 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maggorie Shores Home Llc NPPES

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

MAGGORIE SHORES HOME LLC (NPI 1770016701) is a healthcare organization registered as an assisted living, behavioral disturbances in St Petersburg, Florida and active in the NPI registry since April 2017. The organization lists Todd E Bridges, Owner, as its authorized official.

NPPES Registry Identity

NPI1770016701

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameMAGGORIE SHORES HOME LLC

Location Address5566 MARTIN LUTHER KING ST SSt Petersburg, FL 33705-5139

Mailing AddressPo Box 15421St Petersburg, FL 33733-5421 · (727) 434-1828 · Fax (727) 499-7943

Phone(727) 434-1828

Organization SubpartNo

Authorized OfficialTodd E BridgesOwner · (727) 434-1828

Enumeration DateApril 6, 2017

✔ NPI 1770016701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

5566 MARTIN LUTHER KING ST S, St Petersburg, FL 33705

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KORI MONROE

Behavior Technician

5566 MARTIN LUTHER KING ST S
ST PETERSBURG, FL 33705

Pinellas County (727) 434-1828

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 Maggorie Shores Home LLC's NPI number?

The NPI number for Maggorie Shores Home LLC is 1770016701. It was assigned to this organization in the NPPES registry on April 6, 2017.

Where is Maggorie Shores Home LLC located?

Maggorie Shores Home LLC is located at 5566 Martin Luther King St S, St Petersburg, FL 33705. The listed phone number is (727) 434-1828.

What is Maggorie Shores Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Maggorie Shores Home LLC was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.