Mary'S House Palmetto Bay Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARY'S HOUSE PALMETTO BAY ALF, LLC

Practice address

13601 SW 84TH Ave
Palmetto Bay, FL 33158-1029

Phone

(786) 486-7673

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Rosa Derosa

Title

Owner

Phone

(786) 486-7673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1063302958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 SW 76TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434323",
            "telephone_number": "786-486-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 SW 84TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581029",
            "telephone_number": "786-486-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOUSE PALMETTO BAY ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-486-7673"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerin Martinez
• Maria V Martinez, ARNP
• Melissa Lidia Martinez, LMFT
• Norielkys Martinez
• Raimarys Martinez, RBT
• Kelly Marzouka-Fernandez
• Kelly Maureen Maton, M.D.
• Osvaldo Matos Ross
• Xiomara Francesca Matos
• Kelsey Elizabeth Mauldin, DC

• Assisted Living Facility in Palmetto Bay, FL
• Providers in Palmetto Bay, 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 Aug 5, 2026; 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.