Sweetbay Magnolia Shared Living LLC

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

SWEETBAY MAGNOLIA SHARED LIVING LLC

Practice address

42639 Reminiscent LN
Ste B
Magnolia, TX 77354

Phone

(314) 518-8991

Fax

(205) 651-8099

NPI assigned

Oct 28, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Andrea Inez Vincent

Title

Ceo

Phone

(314) 518-8991

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1003784471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42639 REMINISCENT LN STE B",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547558",
            "telephone_number": "314-518-8991",
            "fax_number": "205-651-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42639 REMINISCENT LN",
            "address_2": "STE B",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "314-518-8991",
            "fax_number": "205-651-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETBAY MAGNOLIA SHARED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-518-8991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in Magnolia, TX
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• Lodging Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.