NPIMap

Organization Active NPI

Marys Homecare LLC

  • Home Health Agency
  • Seffner, FL
National Provider Identifier
1497527279
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARYS HOMECARE LLC
Practice address
5201 Bogdonoff Dr Apt a
Seffner, FL 33584-6447
Phone
(813) 668-4269
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Shaundra CampbellNPI 1508646712
Title
Owner
Phone
(813) 668-4269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5201 Bogdonoff Dr Apt a
Seffner, FL 33584-6447

Mailing address

5201 Bogdonoff Dr Apt a
Seffner, FL 33584-6447
Phone (813) 668-4269

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1497527279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BOGDONOFF DR APT A",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335846447",
            "telephone_number": "813-668-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BOGDONOFF DR APT A",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335846447",
            "telephone_number": "813-668-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHAUNDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-668-4269"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.