Marks Growing Center, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MARKS GROWING CENTER, INC.

Practice address

200 Peach Tree Ave
Vacaville, CA 95688-4443

Phone

(707) 448-7558

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Steve Bise President

Title

President

Phone

(707) 448-8278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mustard Seed Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G626

Legal name

MUSTARD SEED

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 17, 1992

Last certification

Mar 25, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

200 Peach Tree Street
Vacaville, CA 95688

Tax ID family

Hope House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark'S Growing Center, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Vacaville, CA
  • NPI 1811107949
  NPD tax ID

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114138559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 PARKER ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884513",
            "telephone_number": "707-448-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PEACH TREE AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884443",
            "telephone_number": "707-448-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKS GROWING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESIDENT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "BISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-448-8278"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "LTC60506F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustard Seed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Marino, D.D.S., M.S.
• Shauna Marioni II, MSN, NP, CNM
• Brittany Lauren Mariscal
• Mark David Levine, M.D. Davis, Professional Corporation
• Mark'S Growing Center, Inc.
• Chloe Marmion
• Hailey Nicole Marques, DPT
• Lizeth Marquez
• Erika Marroquin
• Tara Inez Marshall, RDHAP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.