Active NPI
Marcia E Hollenbeck
- Child Physical Disabilities Respite Care
- Ocala, FL
National Provider Identifier
1790049740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Physical Disabilities Respite Care
- License
- 004151700
- Practice address
- 6311 Pecan Crse
Ocala, FL 34472-8708 - Phone
- (352) 857-6631
- NPI assigned
- Jun 25, 2012
- Last updated
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Physical Disabilities Respite Care | 385HR2065X | 004151700 | FL | Primary |
Addresses
Primary practice location
6311 Pecan Crse
Ocala, FL 34472-8708
Mailing address
6311 Pecan Crse
Ocala, FL 34472-8708
Phone (352) 857-6631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004151700 | FL | MD | Child Physical Disabilities Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1790049740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 PECAN CRSE",
"city": "OCALA",
"state": "FL",
"postal_code": "344728708",
"telephone_number": "352-857-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6311 PECAN CRSE",
"city": "OCALA",
"state": "FL",
"postal_code": "344728708",
"telephone_number": "352-857-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENBECK",
"first_name": "MARCIA",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "FL",
"license": "004151700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.