Organization Active NPI

Mary Louise Homecare LLC

  • Homemaker
  • Tallahassee, FL
National Provider Identifier
1356936652
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
MARY LOUISE HOMECARE LLC
Practice address
4768 Woodville Hwy Apt 411
Tallahassee, FL 32305-0955
Phone
(850) 264-7520
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Ms. Frederica Harrison
Title
Owner
Phone
(850) 264-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4768 Woodville Hwy Apt 411
Tallahassee, FL 32305-0955

Mailing address

4768 Woodville Hwy Apt 411
Tallahassee, FL 32305-0955
Phone (850) 264-7520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1356936652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 WOODVILLE HWY APT 411",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323050955",
            "telephone_number": "850-264-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4768 WOODVILLE HWY APT 411",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323050955",
            "telephone_number": "850-264-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOUISE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FREDERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-264-7520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.