Maries Manor Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARIES MANOR INC

Doing business as

Marie's Manor Assisted Living

Practice address

4934 Seminole Ave
Winter Park, FL 32792-7123

Phone

(407) 760-3416

NPI assigned

Jul 27, 2020

Last updated

Jul 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janelle LopezNPI 1164048310

Title

Administrator/Owner

Phone

(407) 760-3416

Specialties & licenses 1

Addresses

Other names 1

• Marie's Manor Assisted Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janelle I Lopez

  • Assisted Living Facility
  • Winter Park, FL
  • NPI 1164048310
  NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1003425034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 SEMINOLE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927123",
            "telephone_number": "407-760-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 SEMINOLE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927123",
            "telephone_number": "407-760-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIES MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "407-760-3416"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie's Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Marco, PA-C
• Jordan Marczewski, OTR/L
• Karen L Marell, P.T.
• Rebecca Lynn Margerum Macleod, M.S.
• Marie's Manor Assisted Living 2, LLC (Marie's Manor Assisted Living 2)
• Dianne Marin
• Allie Marino
• Mario Marsilio Jr DC PA
• Mark Schellhammer LLC
• Maciej Jan Markiewicz, DO

• Assisted Living Facility in Winter Park, FL
• Providers in Winter Park, 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 Jul 27, 2020; 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.