Mary'S Care Home

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MARY'S CARE HOME

Practice address

9288 N Lost Sage Dr
8746 Stockon Hill Rd #17
Kingman, AZ 86409-9359

Phone

(928) 692-6721

Fax

(928) 692-5408

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Calkims, N/A

Title

Owner

Phone

(928) 692-6721

Specialties & licenses 1

Addresses

Other names 1

• Calkins Transport LLC Former legal business name

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1528384120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 N LOST SAGE DR",
            "address_2": "8746 STOCKTON HILL RD #17",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864099359",
            "telephone_number": "928-692-6721",
            "fax_number": "928-692-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9288 N LOST SAGE DR",
            "address_2": "8746 STOCKON HILL RD #17",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864099359",
            "telephone_number": "928-692-6721",
            "fax_number": "928-692-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "CALKIMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-692-6721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calkins Transport LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robin Anne Marquez, FNP-C
• Hailey Martin
• Misty Martin, LISAC
• Vivian Jacqueline Martinez
• Wendy Eliza Martinez, PHARMACY TECH.
• Lauria Lynda Mason, CRNA
• Robert G Matheny, M.D.
• Sadie Alane Mattingly, PTA/L
• Kenneth McAdow, PT, DPT
• Diane Renee McCaslin, FNP-BC

• Alzheimer Center (Dementia Center) in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Alzheimer Center (Dementia Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.