Marian Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9061L001 Issued in NY

Legal business name

MARIAN CARE, INC.

Practice address

467 Willis Avenue
Williston Par, NY 11596-1724

Phone

(516) 741-8600

Fax

(516) 408-3111

NPI assigned

Dec 22, 2006

Last updated

Feb 7, 2021By 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. Jennifer Jeanne Mueller

Title

Director

Phone

(516) 741-8600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1750445664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 WILLIS AVENUE",
            "city": "WILLISTON PAR",
            "state": "NY",
            "postal_code": "115961724",
            "telephone_number": "516-741-8600",
            "fax_number": "516-408-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 WILLIS AVENUE",
            "city": "WILLISTON PAR",
            "state": "NY",
            "postal_code": "115961724",
            "telephone_number": "516-741-8600",
            "fax_number": "516-408-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-741-8600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9061L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753011",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01364676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.