Merona Grey

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906531 Issued in FL

Legal business name

MERONA GREY

Practice address

23167 Wilkinson Ave
Port Charlotte, FL 33980-5865

Phone

(941) 235-3216

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Merona Grey

Title

Provider

Phone

(941) 235-3216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1528404928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23167 WILKINSON AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805865",
            "telephone_number": "941-235-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23167 WILKINSON AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805865",
            "telephone_number": "941-235-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERONA GREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "MERONA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "941-235-3216"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.