Organization Active NPI

Maymont Senior Advocate Group LLC

Doing business as Maymont Senior Care

  • In Home Supportive Care Agency
  • Tavares, FL
National Provider Identifier
1083303390
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAYMONT SENIOR ADVOCATE GROUP LLC
Doing business as
Maymont Senior Care
Practice address
387 W Alfred St
Tavares, FL 32778-3270
Phone
(352) 888-7654
Fax
(352) 663-8838
NPI assigned
May 3, 2023
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Nichole Blake-Little, RNNPI 1174212484
Title
Owner/Administrator
Phone
(352) 888-7654

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

387 W Alfred St
Tavares, FL 32778-3270

Mailing address

2578 Limerick Cir
Grand Island, FL 32735-9006
Phone (352) 888-7654

Other names 1

  • Maymont Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

387 W Alfred St
Tavares, FL 32778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1083303390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 LIMERICK CIR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359006",
            "telephone_number": "352-888-7654",
            "fax_number": "352-663-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W ALFRED ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783270",
            "telephone_number": "352-888-7654",
            "fax_number": "352-663-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYMONT SENIOR ADVOCATE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "BLAKE-LITTLE",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "352-888-7654",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maymont Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.