Mariac Enterprises, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

033-R-0452 Issued in GA

Legal business name

MARIAC ENTERPRISES, LLC

Practice address

833 Campbell Hill St NW
Suite 116
Marietta, GA 30060-1134

Phone

(678) 290-7827

Fax

(678) 290-7817

NPI assigned

Feb 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David William Evans

Title

President

Phone

(678) 290-7827

Specialties & licenses 2

Addresses

Other names 1

• BrightStar Care of Marietta Doing business as

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1225335656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 116",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "678-290-7827",
            "fax_number": "678-290-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 116",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "678-290-7827",
            "fax_number": "678-290-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAC ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-290-7827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033-R-0452",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033-R-0452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serena Holder Marcus, RN, ACNP-BC
• Nicole L Mardak, O.D.
• Mardella'S Way, Inc.
• Marga Pharmacy, Inc
• Amy Rebecca Danforth Margrave, APRN
• Mariel'S Healthcare Services
• Marietta Advanced Surgery Center
• Marietta Associated Psychological Services Inc
• Marietta Center for Rehabilitation Inc
• Marietta Chiropractic Clinic,LLC

• In Home Supportive Care Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.