Mary's Love & Care Home Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARY'S LOVE & CARE HOME INC

Practice address

6981 Coolidge St
Hollywood, FL 33024-3817

Phone

(786) 564-0821

Fax

(954) 416-7870

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annelis Avila

Title

Owner

Phone

(786) 564-0821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1083320956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 COOLIDGE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243817",
            "telephone_number": "786-564-0821",
            "fax_number": "954-416-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 COOLIDGE ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243817",
            "telephone_number": "786-564-0821",
            "fax_number": "954-416-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S LOVE & CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ANNELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-564-0821"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riki Ann Martinez, MA
• Rosa Maria Martinez, LMHC
• Selba Virgen Martinez, RRT
• Emily Edythe Martuscelli, PHARMD, BCPS
• Ronald B Marx, D.D.S.
• Carissa Marzouka, OT
• Joseph Michael Mascenik, P.A.-C
• David Maseda
• Jonathan L Masel, MD
• Svetlana Maslyak, MD

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, 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 Jan 25, 2023; 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.