Maybelle Group Home LLC

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

Legal business name

MAYBELLE GROUP HOME LLC

Practice address

7207 Lakeshore Drive
Tampa, FL 33604

Phone

(813) 966-7399

Fax

(813) 212-6002

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Waveney Gittens-Williams

Title

Assistant Administrator

Phone

(813) 966-7399

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1972365799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 LAKESHORE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-966-7399",
            "fax_number": "813-212-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 LAKESHORE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-966-7399",
            "fax_number": "813-212-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBELLE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GITTENS-WILLIAMS",
        "authorized_official_first_name": "WAVENEY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "813-966-7399"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Victoria May-Rabbach, M.D.
• Daniel Brian May, DO
• Jeremy Adam May, CSFA
• Jonathan David Maya, MD
• Rebeca Maya, RBT
• Mariah- L Lynn Maybush
• Ashley Maycumber
• Maydean Yates
• Maydel Alf Corp
• Maydel Alf Corp

• Clinical Nurse Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.