Organization Active NPI

Maria's Support Coordination LLC

  • Case Management Agency
  • Fort White, FL
National Provider Identifier
1144973967
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARIA'S SUPPORT COORDINATION LLC
Practice address
422 SW Wilson Springs Rd
Fort White, FL 32038-4981
Phone
(386) 288-6039
Fax
(386) 497-1431
NPI assigned
Feb 1, 2022
Last updated
Feb 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Ms. Maria Lucille Legree
Title
Owner
Phone
(386) 288-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

422 SW Wilson Springs Rd
Fort White, FL 32038-4981

Mailing address

422 SW Wilson Springs Rd
Fort White, FL 32038-4981
Phone (386) 288-6039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1144973967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SW WILSON SPRINGS RD",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320384981",
            "telephone_number": "386-288-6039",
            "fax_number": "386-497-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SW WILSON SPRINGS RD",
            "city": "FORT WHITE",
            "state": "FL",
            "postal_code": "320384981",
            "telephone_number": "386-288-6039",
            "fax_number": "386-497-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA'S SUPPORT COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LEGREE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-288-6039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort White, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.