Marrakech Residential Services, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MARRAKECH RESIDENTIAL SERVICES, INC.

Practice address

7 Lyda Dr
Milford, CT 06460-3756

Phone

(203) 878-0852

Fax

(203) 878-0852

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Lenz Andrus

Title

Director of Finance

Phone

(203) 389-2970

Specialties & licenses 1

Addresses

Other names 1

• Marrakech, Inc. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 07G167

Legal name

MARRAKECH - LYDA DRIVE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 31, 1989

Last certification

May 14, 2025

Beds

4

Ownership / control type

Private (non-profit)

Facility address

7 Lyda Drive
Milford, CT 06460

Tax ID family

Marrakech Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Marrakech Residential Service, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • New Haven, CT
  • NPI 1770703316
  NPD tax ID
• Marrakech Residential Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • West Haven, CT
  • NPI 1770703332
  NPD tax ID

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396965968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LUNAR DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252322",
            "telephone_number": "203-389-2970",
            "fax_number": "203-389-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LYDA DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603756",
            "telephone_number": "203-878-0852",
            "fax_number": "203-878-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRAKECH RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LENZ",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "203-389-2970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marrakech, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Aquinas Margius, O.D.
• Philip A Marinaccio, OT
• Holly Marini, APRN, LADC, RN
• Mark M. Pomerantz, D.C., P.C.
• Mary Marra, DPT
• Cady Marsilio
• Kasie-Lynne Martin, PT, DPT
• Natalie Jane Martin, M.ED., BCBA, LBA
• Sarah E Martins
• Francesca Mascola, LPC

• Intellectual Disabilities Intermediate Care Facility in Milford, CT
• Providers in Milford, CT by specialty
• Intellectual Disabilities Intermediate Care Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.