Memories Adult Day Care Center, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12563 Issued in FL

Legal business name

MEMORIES ADULT DAY CARE CENTER, LLC.

Practice address

124 W 13TH St
Riviera Beach, FL 33404-6844

Phone

(561) 598-0786

NPI assigned

Nov 13, 2014

Organization subpart

No

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

Authorized official

Name

Gladys D. White-Johnson

Title

Administrator

Phone

(561) 598-0786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1609272913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 13TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046844",
            "telephone_number": "561-598-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 13TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046844",
            "telephone_number": "561-598-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIES ADULT DAY CARE CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "WHITE-JOHNSON",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-598-0786"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Mehallis, M.ED.
• Ritu G Mehrotra, M.D.
• Rachel Marie Melendez, PSYD
• Melissa M Guanche MD LLC
• Sonia N Melwani, D.O
• Patricia Mena Ochoa
• Marie Ronalde Merisme, RN
• Patricia Mery-Sinkhorn, A.R.N.P.
• Khadean Allicia Metcalf, M.S.W., L.C.S.W.
• Tyler Michaels

• Assisted Living Facility in Riviera Beach, FL
• Providers in Riviera Beach, 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 Nov 13, 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.