Active NPI
Mayflower Retirement Center Inc. Dba Mayflower Healthcare Center
- Skilled Nursing Facility
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5NF1328096
- Legal business name
- MAYFLOWER RETIREMENT CENTER INC. DBA MAYFLOWER HEALTHCARE CENTER
- Practice address
- 1850 Mayflower Court
Winter Park, FL 32792-2508 - Phone
- (407) 672-1620
- Fax
- (855) 382-6776
- NPI assigned
- Nov 22, 2005
- Last updated
- Mar 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Candy M Bowling
- Title
- Chief Financial Officer
- Phone
- (407) 672-1620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5NF1328096 | FL | Primary |
Addresses
Primary practice location
1850 Mayflower Court
Winter Park, FL 32792-2508
Mailing address
1620 Mayflower CT
Winter Park, FL 32792-2500
Phone (407) 672-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100825000714 | FL | Part A Provider - Skilled Nursing Facility | 3375565195 |
1 other NPI on this enrollment Practice locations: Winter Park, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801879069. Details of each certification follow.
Skilled nursing facility certification: CCN 105720
- Legal name
- MAYFLOWER RETIREMENT CENTER, INC. DBA MAYFLOWER HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 28, 1991
- Last certification
- Feb 20, 2025
- Beds
- 60
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 1620 Mayflower CT
Winter Park, FL 32792-2500
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mayflower Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Mar 28, 1991
- Medicare certification status
- Active
- Certified beds
- 60
National Provider Directory
National Provider Directory- Tax ID family
- The Mayflower Retirement
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Winter Park, FL
- NPI 1982641924
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1850 Mayflower Ct
Winter Park, FL 32792
Phone (407) 672-1620
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Candy Bowling | Corporate Director | Jun 1, 2020 | |
| Operational/Managerial Control | May 18, 2020 | ||
| Ariel F Cole | Adp of the SNF | Apr 14, 2025 | |
| Ben Anderson | Operational/Managerial Control | Jun 1, 2020 | |
| Adp of the SNF | Apr 14, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Winter Park, FL
- NPI 1265428296
Adp of the SNF
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayflower Home Health Agency, LLC. | Home health agency | 5% Or Greater Direct Ownership Interest (96%) Operational/Managerial Control |
Jun 21, 2011 Jun 21, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Winter Park, FL
- NPI 1790083244
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Winter Park, FL
- NPI 1265428296
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741046400000",
"number": "1801879069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 MAYFLOWER CT",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922500",
"telephone_number": "407-672-1620",
"fax_number": "407-671-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 MAYFLOWER COURT",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922508",
"telephone_number": "407-672-1620",
"fax_number": "855-382-6776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFLOWER RETIREMENT CENTER INC. DBA MAYFLOWER HEALTHCARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-22",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A",
"authorized_official_last_name": "BOWLING",
"authorized_official_first_name": "CANDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "407-672-1620",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "5NF1328096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.