Mavis Hinson Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906464 Issued in FL

Legal business name

MAVIS HINSON ADULT FAMILY CARE HOME

Practice address

600 South 10TH Street
Fort Pierce, FL 34950-8516

Phone

(772) 460-8498

Fax

(772) 460-8498

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Mavis Ernestine Hinson

Title

Provider

Phone

(772) 460-8498

Specialties & licenses 1

Addresses

Practitioners 1

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

• /Mavis Hnson

  • Nurse's Aide
  • Fort Pierce, FL
  • NPI 1871841676
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1972902096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOUTH 10TH STREET",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH 10TH STREET",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508516",
            "telephone_number": "772-460-8498",
            "fax_number": "772-460-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIS HINSON ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "MAVIS",
        "authorized_official_middle_name": "ERNESTINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "772-460-8498",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Matthews, DC DACNB
• Paulette E Mattis, FNP-BC
• Mary Mauck, LCSW
• Maureen a Zelinka, MD, PA
• Dale Mauro
• Maximum Mobility Inc
• Monica Maxwell
• Rebecca Ann Maxwell, BA
• Tracey May, RN
• Shirley Ann Maycock, MS

• Adult Care Home Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.