Morris Group Home Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

MORRIS GROUP HOME INC

Practice address

1206 Pioneer Rd
Mangonia Park, FL 33407-2241

Phone

(770) 369-2882

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By 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

Marcellius Dion Morris

Title

President

Phone

(770) 369-2882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1821741281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PIONEER RD",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072241",
            "telephone_number": "770-369-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 PIONEER RD",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072241",
            "telephone_number": "770-369-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MARCELLIUS",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-369-2882"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Joseph Mann, MD
• Paula Martinek, CO, LPO
• Med Aide Services Inc
• Katherine Miller, M.D.
• Heidi Escalona Morgia, LMHC
• Samuel Morrison
• Elaine Althea Nelson, LMHC
• Garrett Nguyen, DPM
• Sasha Ortiz
• Jagdip K Patel, RPH

• Mental Illness Intermediate Care Facility in Mangonia Park, FL
• Providers in Mangonia Park, FL by specialty
• Mental Illness Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.