Mary Nell'S Close to Home

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARY NELL'S CLOSE TO HOME

Practice address

12878 Hwy 155 S
Tyler, TX 75703-6539

Phone

(903) 372-4043

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Tamina Redia Wells

Title

Founder

Phone

(903) 372-4043

Specialties & licenses 1

Addresses

Other names 1

• Mary Nell's Close to Home Former legal business name

Locations

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1467130633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12878 HWY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036539",
            "telephone_number": "903-372-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12878 HWY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036539",
            "telephone_number": "903-372-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY NELL'S CLOSE TO HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TAMINA",
        "authorized_official_middle_name": "REDIA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "903-372-4043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Nell's Close to Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vaness Martinez
• William James Martinez
• John David Martino, DO
• Joseph Todd Martins, M.D.
• Karla Martz
• Bretney Massenburge, NP
• Aimee Lee Massey, D.D.S.
• Paula Lynch Massey
• Rachel Massey, BCBA
• Ivie Massie, LVN

• Adult Day Care Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.