Marion Provider Care Services, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MARION PROVIDER CARE SERVICES, INC.

Practice address

1010 E Adams St
Suite 105
Jacksonville, FL 32202-1902

Phone

(904) 379-1528

Fax

(904) 212-0615

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Bellissia Marion Pandy, M.S.

Title

Owner/Manager

Phone

(904) 537-5718

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1043471857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-379-1528",
            "fax_number": "904-212-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ADAMS ST",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322021902",
            "telephone_number": "904-379-1528",
            "fax_number": "904-212-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PROVIDER CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "PANDY",
        "authorized_official_first_name": "BELLISSIA",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "904-537-5718",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687986198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687986196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jean Marin-Field, MSW, LCSW
• Candace Joy Marin, RBT
• Danielle Elizabeth Marino
• Jenna Lee Marino
• Sharon Elizabeth Marino, PA-C
• Noor Deeb Saad Marji
• Marjorie G. Cupp
• Mark a Smith MD,P.a.
• Mark B Phillips M.D., P.a.
• Mark C Monroe MD PA

• All providers in Jacksonville, FL
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.