Marigold Residence, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARIGOLD RESIDENCE, LLC

Practice address

3132 N Narrows Dr
Tacoma, WA 98407-1516

Phone

(510) 387-5797

Fax

(253) 276-4843

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Monika Shah

Title

Provider

Phone

(510) 387-5797

Specialties & licenses 1

Addresses

Other names 1

• Marigold Residence Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1437969862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 N NARROWS DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071516",
            "telephone_number": "510-387-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 N NARROWS DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071516",
            "telephone_number": "510-387-5797",
            "fax_number": "253-276-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD RESIDENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "510-387-5797"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marigold Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Josephine Margeson
• Mark R Mariani, M.D.
• Marianne Hevly Norden Otr/L, CHT PLLC
• Ederico B. Mariano
• Anne M. Mariella, RN
• Tambra L Marik, OT
• Marilyn Boyle Ma MTS LLC
• Joseph Leonardo Marin, RT (R) (MRI)
• Kimberley Ann Marin, ARNP
• Richard Rex Marin, CPO

• Adult Care Home Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.