MVP Group Home I LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MVP GROUP HOME I LLC

Practice address

266 N Twin Maple Rd
Saint Augustine, FL 32084-8398

Phone

(904) 669-8446

NPI assigned

Jul 25, 2022

Organization subpart

No

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

Authorized official

Name

Catherine Cason

Title

Owner

Phone

(904) 669-8446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1689300568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAN JOSE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866551",
            "telephone_number": "904-669-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N TWIN MAPLE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320848398",
            "telephone_number": "904-669-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP GROUP HOME I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-669-8446"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Murray-Gray
• Jewel Talia Murray, PT, DPT
• Kellee Murray, DNP
• Heather D Musanto, RBT
• Jessica Peyton Musgrove, MOT, OTR/L
• MVP Support Services, LLC
• MVP Support Services, LLC
• Kasandra Leigh Myers-Bell, PT, DPT
• Kaitlyn Elizabeth Myers
• Kylee Myers

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.