OrganizationActive
Magnolia Home Inc
NPI 1225528094 · Developmental Disabilities Clinic/Center · Port Saint Lucie, FL
Provider details
- NPI number
- 1225528094
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Christian, Ceo(772) 626-1413
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
918 Sw Idol Ave
Port Saint Lucie, FL 34953-6728
Phone: (772) 626-1413
Street-level locationGet directions
Mailing address
918 Sw Idol Ave
Port Saint Lucie, FL 34953-6728
Registry dates
- Enumerated
- 2018-05-16
- Last updated
- 2018-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.