Provider Type Icon

MAGNOLIA BRIDGE HOME AND HEALTH LLC NPI 1811579758


NPI Information

NPI: 1811579758
Provider Name: MAGNOLIA BRIDGE HOME AND HEALTH LLC

Doing Business As: MAGNOLIA BRIDGE HOME AND HEALTH LLC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
118 REALINI DR
HAVELOCK, NC
ZIP 28532
Phone: (252) 665-8819
Get Directions

MAGNOLIA BRIDGE HOME AND HEALTH LLC is an in home supportive care in Havelock, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MAGNOLIA BRIDGE HOME AND HEALTH LLC NPI is 1811579758. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Magnolia Bridge Home And Health Llc.

The provider's business location address is:

118 REALINI DR
HAVELOCK, NC
ZIP 28532-403
Phone: (252) 665-8819
Fax: (252) 254-2705

The provider's authorized official is Tracy Hayes .
The authorized official title is Occupational Therapist/owner and has the following contact phone number (252) 665-8819.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 3/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2251S00000XCommunity/Behavioral HealthNo
3253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.