Organization Active NPI

Marie Antoinette Alexis

  • Adult Care Home Facility
  • Palm Coast, FL
National Provider Identifier
1972249993
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MARIE ANTOINETTE ALEXIS
Practice address
63 Ryberry Dr
Palm Coast, FL 32164-6438
Phone
(386) 206-4831
Fax
(386) 263-7649
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie Antoinette AlexisNPI 1831843002
Title
Administrator
Phone
(386) 338-7974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

63 Ryberry Dr
Palm Coast, FL 32164-6438

Mailing address

63 Ryberry Dr
Palm Coast, FL 32164-6438
Phone (386) 206-4831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1972249993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 RYBERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646438",
            "telephone_number": "386-206-4831",
            "fax_number": "386-263-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RYBERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646438",
            "telephone_number": "386-206-4831",
            "fax_number": "386-263-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE ANTOINETTE ALEXIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-338-7974"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.