Mary'S on Bayshore, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10200 Issued in FL

Legal business name

MARY'S ON BAYSHORE, INC.

Practice address

441 Bayshore Dr
Venice, FL 34285-1412

Phone

(941) 484-3219

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Hodge

Title

Administrator

Phone

(941) 484-3219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1013329754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 BAYSHORE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851412",
            "telephone_number": "941-484-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 BAYSHORE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851412",
            "telephone_number": "941-484-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S ON BAYSHORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-484-3219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Martin
• Jasmine Y Martin, LCSW
• Virginia Carolyn Martin, PSY.D.
• Grace Marie Martinez, APRN
• Patricia Lynn Martinez, PHARM D
• Trent Mascola, D.O.
• Juliya Maslenikova, PHARM. D.
• Simone Graca Mater, MD
• Priya Mary Mathews, M.D.
• Robin Mathews, LMFT

• Assisted Living Facility in Venice, FL
• Providers in Venice, 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 May 29, 2014; 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.