Organization Active NPI

M&M Loving Care Services LLC

  • Developmental Disabilities Clinic/Center
  • Inverness, FL
National Provider Identifier
1568940559
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
M&M LOVING CARE SERVICES LLC
Practice address
2905 Jefferson St W
Inverness, FL 34453-2180
Phone
(352) 601-1652
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Mayolis Mancebo
Title
Owner
Phone
(352) 601-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X FL Primary

Addresses

Primary practice location

2905 Jefferson St W
Inverness, FL 34453-2180

Mailing address

2905 Jefferson St W
Inverness, FL 34453-2180
Phone (352) 601-1652

Other identifiers 1

IdentifierTypeStateIssuer
713913MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1568940559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 JEFFERSON ST W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344532180",
            "telephone_number": "352-601-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 JEFFERSON ST W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344532180",
            "telephone_number": "352-601-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M LOVING CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "MANCEBO",
        "authorized_official_first_name": "MAYOLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-601-1652"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713913",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.