Mary'S Angels LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906661 Issued in FL

Legal business name

MARY'S ANGELS LLC

Practice address

1564 W 30TH St
Riviera Beach, FL 33404-3538

Phone

(561) 444-3059

Fax

(561) 444-3059

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Bell

Title

Owner/Administrator

Phone

(561) 444-3059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1780001123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 W 30TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043538",
            "telephone_number": "561-444-3059",
            "fax_number": "561-444-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 W 30TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334043538",
            "telephone_number": "561-444-3059",
            "fax_number": "561-444-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-444-3059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Martin
• Olivia Martin
• Ana Paula Martinez
• Darlyn Edith Martinez, LCSW
• Johanna Martinez
• John Mastalski, D.O.
• Betty Mathew
• Marie Mathurin, RN
• Rebecca Leah Matte
• Tanya Mazzei

• Adult Care Home Facility in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.