David E Marshall Enterprises Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

License

001649600 Issued in FL

Legal business name

DAVID E MARSHALL ENTERPRISES INC

Doing business as

Marshall Group Home

Practice address

2417 Roanoke Springs Dr
Ruskin, FL 33570-6335

Phone

(813) 416-6237

Fax

(888) 415-7176

NPI assigned

Dec 28, 2015

Last updated

Dec 28, 2015By 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

David E Marshall, PRESIDENT

Title

Ceo

Phone

(813) 416-6237

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MARSHALL GROUP HOME Doing business as

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1952766461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ROANOKE SPRINGS DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335706335",
            "telephone_number": "813-416-6237",
            "fax_number": "888-415-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ROANOKE SPRINGS DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335706335",
            "telephone_number": "813-416-6237",
            "fax_number": "888-415-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E MARSHALL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-416-6237",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "M624165780300",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "001649600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER CHOMPANION AGENCY",
            "identifier": "39966418",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001649600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HOME",
            "identifier": "5277-6-GA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL GROUP HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.