Mary R. Senior Care & Home Care Services Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARY R. SENIOR CARE & HOME CARE SERVICES AGENCY LLC

Doing business as

Mary R. Senior Care & Home Care Services Agency LLC

Practice address

1615 S 4TH St Apt M3306
Minneapolis, MN 55454-1364

Phone

(952) 688-9499

NPI assigned

Jun 9, 2021

Last updated

Jul 6, 2021By 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

Dinina Davis, RN

Title

President/Owner

Phone

(952) 688-9499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary R. Senior Care & Home Care Services Agency LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dinina Johnson Davis

  • Case Management Registered Nurse
  • Minneapolis, MN
  • NPI 1720654056
  NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1952978728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S 4TH ST APT M3306",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541364",
            "telephone_number": "952-688-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S 4TH ST APT M3306",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541364",
            "telephone_number": "952-688-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY R. SENIOR CARE & HOME CARE SERVICES AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DININA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-688-9499",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720654056",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary R. Senior Care & Home Care Services Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary R. Senior Care & Home Care Services Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Marvin, PA-C
• Julia Marvy
• Millicent Julia Marwa, MS-PAS, PA-C
• David Marx, RN
• Mary Froiland&Associates,P.a.
• Jane F Marystone, M.D.
• Tamer Marzouk, BDS
• Eileen Marzullo
• Lorraine Mascarenhas
• Kristin M Mascotti, MD

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.