Organization Active NPI

Marriott Home Care, Inc

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1649608142
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10785 Issued in FL
Legal business name
MARRIOTT HOME CARE, INC
Practice address
2700 Broadway
West Palm Beach, FL 33407-5433
Phone
(561) 659-3793
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Pearl Wong, RN
Title
Owner/Administrator
Phone
(561) 659-3793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10785 FL Primary

Addresses

Primary practice location

2700 Broadway
West Palm Beach, FL 33407-5433

Mailing address

2700 Broadway
West Palm Beach, FL 33407-5433
Phone (561) 659-3793

Other identifiers 1

IdentifierTypeStateIssuer
AL10783OtherFLASSISTED LIVING FACILITY

National Provider Directory

National Provider Directory

Locations

2700 Broadway
West Palm Beach, FL 33407
Phone (561) 567-0626

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1649608142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075433",
            "telephone_number": "561-659-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BROADWAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075433",
            "telephone_number": "561-659-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIOTT HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PEARL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-659-3793",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "AL10783",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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