Martha'S House & Assisted Living Facility Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARTHA'S HOUSE & ASSISTED LIVING FACILITY INC.

Practice address

3831 Funston Cir
Melbourne, FL 32940-8583

Phone

(321) 978-5315

Fax

(321) 978-5316

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Altoniece Fernandes, MSW

Title

Owner

Phone

(321) 978-5315

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1447713193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 FUNSTON CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408583",
            "telephone_number": "321-978-5315",
            "fax_number": "321-978-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 FUNSTON CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408583",
            "telephone_number": "321-978-5315",
            "fax_number": "321-978-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S HOUSE & ASSISTED LIVING FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "ALTONIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-978-5315",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marroquin
• Susan Elizabeth Marsh Meffen, LCSW
• William T Marsh, BCBA
• Cresta Marshall
• Alexandra L Marston, OT
• Anna Mae Martin, PTA
• Christina Martin, LPC
• Dawn M Martin, CRNP
• Francene R. Martin, MD
• Heather Bernice Martin, NP-C

• Assisted Living Facility in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.