Mary'S Garden, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9836 Issued in FL

Legal business name

MARY'S GARDEN, INC.

Practice address

6067 17TH Ave N
St Petersburg, FL 33710-5637

Phone

(727) 345-1341

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Eileen Recine, RN

Title

Admin

Phone

(727) 345-1341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1720477979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 17TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 17TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105637",
            "telephone_number": "727-345-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S GARDEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "RECINE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "727-345-1341",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "9836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M Martinez, M.D.
• Stephanie Martinez
• Chidi Emmanuel Martins, MD
• Nashlie Martoral
• Mary Kathryn Parham
• Alexa Rae Marzo, MD
• Macauley Alister Mascarenhas, MD
• Courtney Nicole Mascoe
• Steven Cameron Masley, MD, CNS
• Alexandra Donn Mason, OTA

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, 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 Jan 12, 2015; 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.