Mary Rose Corporation

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARY ROSE CORPORATION

Practice address

22293 Sibley Rd
Brownstown, MI 48193-8227

Phone

(734) 479-4652

Fax

(734) 479-6421

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Hyacinth Akunne

Title

President/Ceo

Phone

(734) 973-7764

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Theodore Bens, DPM

  • Podiatrist
  • Taylor, MI
  • NPI 1669562815
  NPD (past)

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1679368468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 PACKARD ST UNIT A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082011",
            "telephone_number": "734-973-7764",
            "fax_number": "734-973-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22293 SIBLEY RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481938227",
            "telephone_number": "734-479-4652",
            "fax_number": "734-479-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ROSE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "AKUNNE",
        "authorized_official_first_name": "HYACINTH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "734-973-7764"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lang, MS, LLP, PMH-C
• Heather Lassen, LBSW
• Jasmine Nuesca Lina, FNP
• Matthew Ian Maki, D.P.M.
• Bernard Mendoza Marquillero, RN
• Matrix Home Health Care LLC
• Matrix Home Health Services LLC
• Jackie McCullough, MOTR/L
• Barbara Joyce McKenzie-Westley, R.N.
• Margaret A McQuiston

• Adult Care Home Facility in Brownstown, MI
• Providers in Brownstown, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.