Mary Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARY HOME CARE LLC

Practice address

3509 Canyon Live Oak CT
Gastonia, NC 28056-0034

Phone

(704) 747-6257

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Tanika Vonchel Green, BSN

Title

Owner

Phone

(704) 747-6257

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1104479161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 CANYON LIVE OAK CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280560034",
            "telephone_number": "704-747-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 CANYON LIVE OAK CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280560034",
            "telephone_number": "704-747-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_middle_name": "VONCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-747-6257",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Martinez Colon, AGACNP
• Ana Martinez, RBT
• Guillermo Ezequiel Martinez
• Melanie Martinez
• Mary E Shafer DC PLLC
• Sherrie Miller Mase, PTA
• Mason & Mincey OD PA
• James Robert Mason, OD
• Aigin Masoomi
• Fiona Mariah Massey, LCSW

• Home Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.