Organization Active NPI

Mari'S Cleaning and Senior Care Services

  • Home Health Agency
  • Saint Louis, MI
National Provider Identifier
1013579168
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARI'S CLEANING AND SENIOR CARE SERVICES
Practice address
123 N Pine St
Saint Louis, MI 48880-1428
Phone
(989) 721-0857
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Mari I Debolt, OWNER EMTNPI 1265092589
Title
Owner
Phone
(989) 721-0857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

123 N Pine St
Saint Louis, MI 48880-1428

Mailing address

123 N Pine St
Saint Louis, MI 48880-1428
Phone (989) 721-0857

Other names 1

  • Mari's cleaning and senior care services Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1013579168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N PINE ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801428",
            "telephone_number": "989-721-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N PINE ST",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801428",
            "telephone_number": "989-721-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI'S CLEANING AND SENIOR CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "DEBOLT",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-721-0857",
        "authorized_official_credential": "OWNER EMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mari's cleaning and senior care services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Louis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.