Organization Active NPI

The Mayflower Retirement Center, Inc.

  • Clinic/Center
  • Winter Park, FL
National Provider Identifier
1982641924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC6889 Issued in FL
Legal business name
THE MAYFLOWER RETIREMENT CENTER, INC.
Practice address
1620 Mayflower CT
Winter Park, FL 32792-2500
Phone
(407) 672-1620
Fax
(321) 397-1198
NPI assigned
May 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David L McGuffin
Title
President/Ceo
Phone
(407) 672-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC6889 FL Primary

Addresses

Primary practice location

1620 Mayflower CT
Winter Park, FL 32792-2500

Mailing address

1620 Mayflower CT
Winter Park, FL 32792-2500
Phone (407) 672-1620

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherFLHCC6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060606000233 FL Part B Supplier - Clinic/Group Practice 3375565195 Receives reassigned benefits from 4 practitioners
Practice locations: Winter Park, FL
O20100825000714 FL Part A Provider - Skilled Nursing Facility 3375565195 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Park, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982641924. Details of each certification follow.

Skilled nursing facility certification: CCN 105720

Legal name
MAYFLOWER RETIREMENT CENTER, INC. DBA MAYFLOWER HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 28, 1991
Last certification
Feb 20, 2025
Beds
60
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
1620 Mayflower CT
Winter Park, FL 32792-2500

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mayflower Healthcare CenterCCN 105720 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Mar 28, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
The Mayflower Retirement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Candy Bowling Individual Corporate DirectorCfo Jun 1, 2020
Operational/Managerial ControlCfo May 18, 2020
Ariel F Cole Individual Adp of the SNF Apr 14, 2025
Ben Anderson Individual Operational/Managerial Control Jun 1, 2020
Adp of the SNF Apr 14, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mayflower Home Health Agency, LLC.Winter Park, FL, CCN 103169 Home health agency 5% Or Greater Direct Ownership Interest (96%)
Operational/Managerial Control
Jun 21, 2011
Jun 21, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982641924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 MAYFLOWER CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922500",
            "telephone_number": "407-672-1620",
            "fax_number": "321-397-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MAYFLOWER CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922500",
            "telephone_number": "407-672-1620",
            "fax_number": "321-397-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAYFLOWER RETIREMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUFFIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-672-1620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCC6889",
            "identifier": "LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.