Mary Sabillena

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6907055 Issued in FL

Practice address

7104 Box Elder Dr
Port Richey, FL 34668-6906

Phone

(727) 232-6484

Fax

(813) 252-1401

NPI assigned

Nov 22, 2021

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1366109688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 BOX ELDER DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686906",
            "telephone_number": "727-232-6484",
            "fax_number": "813-252-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 BOX ELDER DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686906",
            "telephone_number": "727-232-6484",
            "fax_number": "813-252-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABILLENA",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6907055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arelys Ruiz Jimenez, DDS
• Madison Ruleman-Tolson, RBT, CDA
• Cayla Rose Rummens, PA-C
• S M S DO PA (Gulf Coast Medical Center)
• S.M.S. Imaging (Florida Institute for Advanced Diagnostic Imaging)
• Jhonn E Salcedo
• Lindsay Samples, NP
• Nahomy De la Caridad Sanchez Arzola
• Selina M Santana, BA
• Glenda Lee Santiago, L.M.T.

• Adult Care Home Facility in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.