Organization Active NPI

Marly Homecare Services LLC

  • Adult Care Home Facility
  • Lake Worth, FL
National Provider Identifier
1467816751
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
234384 Issued in FL
Legal business name
MARLY HOMECARE SERVICES LLC
Practice address
3355 Lake Worth Rd Ste 4
Lake Worth, FL 33461-3673
Phone
(561) 537-6306
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2016

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

Authorized official

Name
Ms. Marly Jean
Title
Administration
Phone
(561) 537-6306

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 234384 FL
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X 234384 FL Primary

Addresses

Primary practice location

3355 Lake Worth Rd Ste 4
Lake Worth, FL 33461-3673

Mailing address

2669 Forest Hill Suite 112
West Palm Beach, FL 33406-3673
Phone (561) 537-6306

National Provider Directory

National Provider Directory

Locations

2669 Forest Hill Blvd
Ste 112
West Palm Beach, FL 33406

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463270400000",
    "number": "1467816751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 FOREST HILL SUITE 112",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334063673",
            "telephone_number": "561-537-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LAKE WORTH RD STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613673",
            "telephone_number": "561-537-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLY HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-05-15",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "MARLY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "561-537-6306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "234384",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "234384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.