Mary's Home, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10073 Issued in FL

Legal business name

MARY'S HOME, INC.

Practice address

14158 NW 88 Place
Miami Lakes, FL 33018

Phone

(786) 401-6639

Fax

(786) 400-8606

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Ledeidy Perez

Title

Owner

Phone

(786) 715-1896

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1043410103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14158 NW 88 PLACE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "786-401-6639",
            "fax_number": "786-400-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14158 NW 88 PLACE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "786-401-6639",
            "fax_number": "786-400-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-11-08",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LEDEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-715-1896"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141203500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar Martinez
• Sady Martinez
• Stephanie Martinez, M.S., CCC-SLP
• Stephanie Martinez, OTR/L
• Martis Behavioral Assistance Services LLC
• Claudia Marzo
• Jorge Ulpiano Mas Ibanez
• Christopher Michael Massaro, OTR/L
• Masvida Health Care Solutions, LLC
• Orlando Antonio Matas-Sosa III, PHARMD

• Assisted Living Facility in Miami Lakes, FL
• Providers in Miami Lakes, 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 Nov 8, 2024; 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.