Organization Active NPI

Marie'S Manor Assisted Living 2, LLC

  • Assisted Living Facility
  • Winter Park, FL
National Provider Identifier
1215744958
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MARIE'S MANOR ASSISTED LIVING 2, LLC
Practice address
7612 Waunatta CT
Winter Park, FL 32792-8924
Phone
(407) 760-3416
Fax
(407) 264-6696
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Janelle LopezNPI 1164048310
Title
Administrator/Owner
Phone
(407) 760-3416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7612 Waunatta CT
Winter Park, FL 32792-8924

Mailing address

7612 Waunatta CT
Winter Park, FL 32792-8924
Phone (407) 760-3416

Other names 1

  • Marie's Manor Assisted Living 2 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1215744958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 WAUNATTA CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928924",
            "telephone_number": "407-760-3416",
            "fax_number": "407-264-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 WAUNATTA CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928924",
            "telephone_number": "407-760-3416",
            "fax_number": "407-264-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE'S MANOR ASSISTED LIVING 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "407-760-3416"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie's Manor Assisted Living 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.