Watkins Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905707 Issued in FL

Legal business name

WATKINS ADULT FAMILY CARE HOME

Practice address

620 Baker Ave
Bartow, FL 33830-3505

Phone

(863) 533-5852

Fax

(863) 533-5852

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Louise Watkins, LIC.NPI 1710474465

Title

Owner/Caregiver

Phone

(863) 533-5852

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn Louise Watkins

  • Home Health Aide
  • Bartow, FL
  • NPI 1710474465
  NPD (past) Authorized official

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1124312160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BAKER AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303505",
            "telephone_number": "863-533-5852",
            "fax_number": "863-533-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BAKER AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303505",
            "telephone_number": "863-533-5852",
            "fax_number": "863-533-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/CAREGIVER",
        "authorized_official_telephone_number": "863-533-5852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LIC."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Mental Health & Addiction Counseling LLC
• Keith Walmsley, LMHC
• Kayla Wanamaker, RN
• Qasim Ward
• Lorenzo Wardell
• Marilyn Louise Watkins
• Watson Clinic LLP
• Brian Watson
• Geraldine L Watson
• Annmarie E Weekes, DO

• Adult Care Home Facility in Bartow, FL
• Providers in Bartow, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.