St. Mary's Home Assisted Living Facility

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

AL4860 Issued in FL

Legal business name

ST. MARY'S HOME ASSISTED LIVING FACILITY

Practice address

718 W Winter Park St
Orlando, FL 32804-4902

Phone

(407) 843-0951

NPI assigned

Dec 17, 2014

Last updated

Dec 18, 2014By 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

Mr. James Layugan Battung

Title

Administrator

Phone

(407) 843-0951

Specialties & licenses 1

Addresses

Tax ID family

St Mary's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Mary's Home

  • Assisted Living Facility (Mental Illness)
  • Orlando, FL
  • NPI 1124467691
  NPD tax ID

Locations

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1558769943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W WINTER PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044902",
            "telephone_number": "407-843-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W WINTER PARK ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044902",
            "telephone_number": "407-843-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOME ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "BATTUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAYUGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-843-0951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "AL4860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Laurel St. John, APRN, AGPCNP-C
• Adam Gerard St. Laurent, DC
• St. Lukes United Methodist Church, the Community Counseling Center
• Shawn Patrick St. Marie, D.O.
• St. Mary's Home
• Donald St. Pierre, RN
• Latoya St. Pierre, LMHC
• Kislene St.Hubert, ARNP
• Milerne St.Vil
• Sta Maria Inc (Sunrise Retirement Home ALF)

• Health Maintenance Organization in Orlando, FL
• Providers in Orlando, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.