Mary'S Extreme Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11031 Issued in FL

Legal business name

MARY'S EXTREME CARE INC

Practice address

6107 SW 26TH St
Miramar, FL 33023-3907

Phone

(954) 966-3530

Fax

(954) 963-0901

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Miss Mary Ann Melinda Barry-Austin I

Title

Administrator

Phone

(954) 966-3530

Specialties & licenses 1

Addresses

Other names 1

• Good Move Enterprices Doing business as

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1003159807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 SW 26TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233907",
            "telephone_number": "954-966-3530",
            "fax_number": "954-963-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 SW 26TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233907",
            "telephone_number": "954-966-3530",
            "fax_number": "954-963-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S EXTREME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "BARRY-AUSTIN",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-966-3530",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Move Enterprices",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayneris Martinez, NP-C
• Diana Martinez, MD
• Franchesca Lucia Martinez
• Miguel Eladio Martinez, M.D
• Yailen Martinez
• Marymar Service LLC
• Dulce Belle Mascarinas, DO
• Abimael Massa, PTA
• Renya S Massac
• Orffa Masso, D.D.S.

• Assisted Living Facility in Miramar, FL
• Providers in Miramar, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.