Organization Active NPI

Roc Marian Assisted Living Facility, LLC

  • Assisted Living Facility
  • Lake City, FL
National Provider Identifier
1760298921
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROC MARIAN ASSISTED LIVING FACILITY, LLC
Practice address
233 SE Country Club Rd
Lake City, FL 32025-4986
Phone
(386) 227-5519
Fax
(386) 361-2370
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Emily WeatherspoonNPI 1154950012
Title
Admin/Owner
Phone
(386) 227-5519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

233 SE Country Club Rd
Lake City, FL 32025-4986

Mailing address

244 SE Victoria GLN
Lake City, FL 32025-9308
Phone (386) 227-5519

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1760298921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SE VICTORIA GLN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320259308",
            "telephone_number": "386-227-5519",
            "fax_number": "386-361-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 SE COUNTRY CLUB RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254986",
            "telephone_number": "386-227-5519",
            "fax_number": "386-361-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROC MARIAN ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WEATHERSPOON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ADMIN/OWNER",
        "authorized_official_telephone_number": "386-227-5519"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.