Organization Active NPI

Marie'S Group Home Services, Inc

  • Exclusive Provider Organization
  • Miramar, FL
National Provider Identifier
1396149688
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
MARIE'S GROUP HOME SERVICES, INC
Practice address
2140 SW 67TH Way
Miramar, FL 33023-2763
Phone
(305) 620-8549
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Marie Maude Simeon
Title
President/Director
Phone
(786) 239-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2140 SW 67TH Way
Miramar, FL 33023-2763

Mailing address

20009 NW 58TH CT
Hialeah, FL 33015-4961
Phone (305) 620-8549

Other identifiers 1

IdentifierTypeStateIssuer
687991896MedicaidFL

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": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1396149688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20009 NW 58TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154961",
            "telephone_number": "305-620-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 SW 67TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232763",
            "telephone_number": "305-620-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE'S GROUP HOME SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "SIMEON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "MAUDE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "786-239-2255"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687991896",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.