Markies Manor

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARKIES MANOR

Practice address

13602 Yosemite Dr
Westminster, CA 92683-3032

Phone

(714) 894-4508

Fax

(714) 740-0509

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Shellee Smith, BOARD & CARE

Title

Owner/Operator

Phone

(714) 204-1344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1023690823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13602 YOSEMITE DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833032",
            "telephone_number": "714-894-4508",
            "fax_number": "714-740-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13602 YOSEMITE DR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833032",
            "telephone_number": "714-894-4508",
            "fax_number": "714-740-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKIES MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELLEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "714-204-1344",
        "authorized_official_credential": "BOARD & CARE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilquis Manjra, RD
• Susan Michelle Mannos, LMFT
• Gacia Lara Semerjian Manouelian, FNP
• Marianne Nga Nguyen, MD, Inc.
• Markham Family Dental
• Jason Daniel Martin
• Sarah Martin
• Frankie Teresa Martinez, BS,RBT
• Michelle Martinez, PPS
• Miguel Angel Martinez, BA

• Adult Care Home Facility in Westminster, CA
• Providers in Westminster, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.