Marys House of Restoration, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MARYS HOUSE OF RESTORATION, INC.

Practice address

9320 Cloverhill Rd
Little Rock, AR 72205-4617

Phone

(501) 744-8799

Fax

(501) 747-1149

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Miss Carla M Grantt

Title

Cheif Executive Officer

Phone

(501) 744-8799

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1114644598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CLOVERHILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054617",
            "telephone_number": "501-744-8799",
            "fax_number": "501-747-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 CLOVERHILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054617",
            "telephone_number": "501-744-8799",
            "fax_number": "501-747-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS HOUSE OF RESTORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "GRANTT",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-744-8799",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carla.grantt@maryshouseofrestoration.org",
            "affiliation": "N",
            "endpointDescription": "carla.grantt@maryshouseofrestoration.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9320 Cloverhill Rd",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722054617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Michelle Marts, LCSW
• Lubna Maruf, M.D.
• Lihsien Sue Marx, FNP-C
• Mary J Searcy Mdpa
• Mary K Richards MD PA
• Marys Mobility LLC
• Kendall Mieko Masada, MD
• Samaria Mascagni, DDS
• Fares A Mashal, MD
• April Cherie Mashburn, RN, BSN

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.