Mott Foster Home (Alf)

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL5053 Issued in FL

Legal business name

MOTT FOSTER HOME (ALF)

Practice address

1746 S Washington Ave
Apopka, FL 32703-7518

Phone

(407) 886-7005

Fax

(407) 886-7005

NPI assigned

Dec 23, 2013

Last updated

Dec 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Alica Mott

Title

Owner

Phone

(407) 886-7005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1720409436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 S WASHINGTON AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037518",
            "telephone_number": "407-886-7005",
            "fax_number": "407-886-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 S WASHINGTON AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037518",
            "telephone_number": "407-886-7005",
            "fax_number": "407-886-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTT FOSTER HOME (ALF)",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-886-7005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL5053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mortinsen-Lazer
• Briana Moseley
• Natereya Mosley
• Louwella Mosqueda, ARNP
• Kelly Moss
• Jodi Mumau, PHARMD
• Antonio Munoz-Beristain, LAT, ATC
• Diego O Munoz, MD
• Yadiel Munoz, LCSW
• Yessenia Munson, MOTR/L

• Assisted Living Facility (Mental Illness) in Apopka, FL
• Providers in Apopka, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.