Mary RC F #3

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MARY RC F #3

Practice address

10219 Farrow Rd
Blythewood, SC 29016

Phone

(803) 683-7972

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Mary D. Bacote

Title

Owner

Phone

(803) 556-9813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1225801657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 FARROW RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "29016",
            "telephone_number": "803-683-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 FARROW RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "29016",
            "telephone_number": "803-683-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY RC F #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "BACOTE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-556-9813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Localmotion Transportation LLC
• Love&Care Home Healthcare Agency, LLC
• Sherry Macaluso, LPC, LPES
• Stephanie Maiorano, BSN, RN
• Krysta Major
• Mary'S RCF #3
• Benjamin Mathew, PHD
• Ashley Mazzanna, CCC-SLP
• Kelsey Klostermeyer McDill, M.D.
• Christa McLaughlin, MSW

• Assisted Living Facility (Mental Illness) in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Assisted Living Facility (Mental Illness) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.