Active NPI
Marly Homecare Services LLC
- Adult Care Home Facility
- Lake Worth, FL
National Provider Identifier
1467816751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 234384
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.