Mel-Mar Enterprises, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7949 Issued in FL

Legal business name

MEL-MAR ENTERPRISES, INC

Practice address

965 Florida Ave S
Rockledge, FL 32955-2129

Phone

(321) 639-0004

NPI assigned

Oct 25, 2012

Organization subpart

No

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

Authorized official

Name

Jane Mira

Title

President

Phone

(321) 639-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie-Claire D Villanueva, D.P.M.

  • Podiatrist
  • Merritt Island, FL
  • NPI 1649356957
  NPD (past)

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1609129840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552129",
            "telephone_number": "321-639-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL-MAR ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MIRA",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-639-0004"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009018100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medfast Urgent Care Centers. LLC
• Medical Staffing Solutions,Inc.
• Delight Megregian, M.A.
• Melissa Jean Meikle
• Jose G Mejia, MD
• Kaitlyn Shea Mellick, CF-SLP
• Jessica Melton, R.B.T.
• Lorymar Mendez
• Laura Marie Mendoza, D.O.
• Rebecca Mendoza, CRNA

• Assisted Living Facility in Rockledge, FL
• Providers in Rockledge, 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 Oct 2, 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.