MARIANNE'S LEGACY HOME, LLC (NPI# 1801385505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801385505 |
| Entity Type | Organization |
| Organization Name | MARIANNE'S LEGACY HOME, LLC |
| Practice Address |
23515 Valderama Ln Sorrento FL 32776-6937 |
| Mailing Address |
4406 W Coplen Farms Rd Laveen AZ 85339-7131 |
| Practice Telephone | 5169027088 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MS. CARTLYNE ALEXIS (CEO) |
| Authorized Official Telephone | 5169027088 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
23515 VALDERAMA LN |
| City | SORRENTO |
| State | FL |
| Zip Code | 32776-6937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841606159 | Kettelie Najac | Counselor | 23515 Valderama Ln, Sorrento, FL 32776-6937 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831576743 | R & A Gupta LLC | Assisted Living Facility | 25444 State Road 46, Suite #3, Sorrento, FL 32776 | 2015-04-29 |
| 1952703852 | Crystal Cipriani | Massage Therapist | 32310 Oak Bluff Drive, Sorrento, FL 32776 | 2014-09-23 |
| 1063641926 | Silvia Perez | Specialist | 32636 County Road 437, Sorrento, FL 32776-1213 | 2009-07-13 |
| 1780947358 | Robert Brian Sindler | Veterinarian | 6644 Swain Rd, Sorrento, FL 32776-6700 | 2012-06-19 |
| 1184047375 | Michelle Ferrantino | Occupational Therapy Assistant | 34113 Cordoba Ln, Sorrento, FL 32776-6901 | 2014-01-24 |
| 1174915334 | Childs Hope Nursing Service and Homecard | Skilled Nursing Facility | 34315 Alicante Ct, Sorrento, FL 32776-6913 | 2015-02-25 |
| 1053510024 | Felecia Michelle Freeman | Registered Nurse | 33820 Terragona Dr, Sorrento, FL 32776-6917 | 2007-07-11 |
| 1366614596 | Gary Eugene Perigo | Specialist | 34001 Terragona Dr, Sorrento, FL 32776-6926 | 2008-03-27 |
| 1124559364 | Melissa Smith | Behavior Technician | 34119 Alameda Dr, Sorrento, FL 32776-6955 | 2017-03-21 |
| 1124570916 | Luis Colon Marquez | Counselor | 25321 Ironwedge Dr, Sorrento, FL 32776-7101 | 2016-10-27 |
| Find all providers in zip 32776 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568294 | Open Skyes Family Care Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5600 Sw 36th St, West Park, FL 33023-6106 | 2020-11-08 |
| 1124628565 | Rachelle Homehealth Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8539 Gate Pkwy W Unit 9134, Jacksonville, FL 32216-1037 | 2020-10-26 |
| 1497368203 | Careola LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3248 Landing Vw, Tavares, FL 32778-2035 | 2020-08-31 |
| 1982218764 | The Home W/ Guiding Hands | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1256 N Florida Ave, Tarpon Springs, FL 34689-2004 | 2020-08-31 |
| 1306459359 | Joy-little Enterprise LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9148 Ridge Blvd, Jacksonville, FL 32208-1265 | 2020-08-28 |
| 1720691082 | Ohana In Home Senior Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 421 W Georgia St, Tallahassee, FL 32301-1011 | 2020-08-26 |
| 1003428467 | Pamella Omelda Odoms-brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 541 Shirley Dr., Apopka, FL 32712 | 2020-08-18 |
| 1831700020 | Mikerline Lyns | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10941 Winding Creek Ln, Boca Raton, FL 33428-5664 | 2020-08-12 |
| 1902416993 | Faith Care Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3800 Inverrary Blvd Ste 408d, Lauderhill, FL 33319-4359 | 2020-08-04 |
| 1063020188 | Kristine Kaiser Cravener | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1095 Beckman Dr, South Daytona, FL 32119-2499 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.