Four Magnolias Llc.

LBN: Four Magnolias Llc.
Four Magnolias Llc. is an health care organization with primary practice located at 21297 Olean Blvd Ste A , Port Charlotte FL 33952-6704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Four Magnolias Llc. can be contacted via phone (941) 235-8226, or through Rodriguez, Yiliam via phone (305) 748-1047.

Contact Information

Primary practice address
21297 Olean Blvd Ste A Port Charlotte FL 33952-6704
Fax: (941) 235-8360
Website:
Authorized official contact:
Name: Rodriguez, Yiliam

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1508749722
LBN Legal business name Four Magnolias Llc.
DBA Doing business as
Authorized official Rodriguez, Yiliam
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2025
Last updated Feb 27th, 2026 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508749722 NPPES
Florida MEDICAID 1288695

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