St. Mary'S Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL4860 Issued in FL

Legal business name

ST. MARY'S HOME

Practice address

718 W Winter Park St
Orlando, FL 32804-4902

Phone

(407) 843-0951

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. James Layugan Battung

Title

Administrator

Phone

(407) 843-0951

Specialties & licenses 1

Addresses

Tax ID family

St Mary'S Home2 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.

• St. Mary'S Home Assisted Living Facility

  • Health Maintenance Organization
  • Orlando, FL
  • NPI 1558769943
  NPD tax ID

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1124467691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W WINTER PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044902",
            "telephone_number": "407-843-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W WINTER PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044902",
            "telephone_number": "407-843-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BATTUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAYUGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-843-0951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL4860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samarra St. Hilaire, OTR
• Amanda Laurel St. John, APRN, AGPCNP-C
• Adam Gerard St. Laurent, DC
• St. Lukes United Methodist Church, the Community Counseling Center
• Shawn Patrick St. Marie, D.O.
• St. Mary'S Home Assisted Living Facility
• Donald St. Pierre, RN
• Latoya St. Pierre, LMHC
• Kislene St.Hubert, ARNP
• Milerne St.Vil

• Assisted Living Facility (Mental Illness) in Orlando, FL
• Providers in Orlando, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.