M.a.G Team, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

M.A.G TEAM, INC

Doing business as

Lepe's Home

Practice address

524 Highland St N
St Petersburg, FL 33701-2120

Phone

(727) 827-4778

Fax

(727) 827-4779

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By 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

Mrs. Michelle Marie BerthelotNPI 1386065696

Title

Owner

Phone

(727) 501-5704

Specialties & licenses 1

Addresses

Other names 1

• LEPE'S HOME Doing business as

Locations

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.

• Michelle Berthelot

  • Community Health Worker
  • St Petersburg, FL
  • NPI 1386065696
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093923518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 HIGHLAND ST. N",
            "city": "ST.PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-827-4778",
            "fax_number": "727-827-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 HIGHLAND ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012120",
            "telephone_number": "727-827-4778",
            "fax_number": "727-827-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.G TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTHELOT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-501-5704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEPE'S HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paul David Maas, DO
• Frances Martin Mabee, PH.D.

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, 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 22, 2020; 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.