Marced, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8379 Issued in FL

Legal business name

MARCED, INC

Doing business as

Queen of Angels

Practice address

1645 Bartlett Ave
Orange Park, FL 32073-3616

Phone

(904) 264-9570

Fax

(904) 264-9570

NPI assigned

May 7, 2013

Last updated

May 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pauline Dyer

Title

President

Phone

(904) 708-8471

Specialties & licenses 1

Addresses

Other names 1

• Queen of Angels Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Rawson Griffin III, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1124024310
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1528403326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 BARTLETT AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733616",
            "telephone_number": "904-264-9570",
            "fax_number": "904-264-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 BARTLETT AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733616",
            "telephone_number": "904-264-9570",
            "fax_number": "904-264-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-708-8471"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen of Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janna Susanne Manning, MS CCC/SLP
• Samantha Amiya Mansur, DPT, PT
• Stephanie Mapp, D.M.D.
• Victor A Maquera, MD
• Marc J Young, LLC (First Coast Mental Health, PA)
• Karl Harold Marcellus, PHARMD
• Jose Luis Marcos-Arenal, DDS, MS
• Maria M. Ramirez. M.D., P.a.
• Haesook Marino, M.D.
• Hwang E. Marino, DMD

• Assisted Living Facility in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.