MARYDALE INC (NPI# 1982091518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982091518 |
| Entity Type | Organization |
| Organization Name | MARYDALE INC |
| Other Organization Name | MARYLAND MANOR |
| Practice Address |
7632 Maryland Ave Hudson FL 34667-3261 |
| Practice Telephone | 7276426900 |
| Mailing Telephone | 7276426900 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | MR. BING SANTIANO (ADMINISTRATOR) |
| Authorized Official Telephone | 7276426900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL7165 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryland Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356778674 | Marydale Inc | Assisted Living Facility | 1743 Sharondale Dr, Clearwater, FL 33755-2339 | 2013-10-01 |
| Street Address |
7632 MARYLAND AVE |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
| 1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
| 1497157754 | Brookwood Assisted Living Facility Inc | Assisted Living Facility | 7211 Beacon Woods Dr, Hudson, FL 34667-1975 | 2014-09-18 |
| 1336557180 | Serenity Assisted Living Facility LLC | Assisted Living Facility | 15322 Matis Rd, Hudson, FL 34669-1023 | 2014-07-24 |
| 1396152963 | Green Acres | Assisted Living Facility | 15820 Archer St, Hudson, FL 34667-3816 | 2014-07-16 |
| 1376955633 | Collin Mulder | Assisted Living Facility | 14108 Old Dixie Hwy, Hudson, FL 34667-1362 | 2014-05-21 |
| 1124440458 | Braybrook Assisted Living | Assisted Living Facility | 7532 State Road 52, Hudson, FL 34667-6715 | 2014-01-06 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1720416357 | The Hendricks Group Inc. | Assisted Living Facility | 1015 Crest View Dr, Hudson, WI 54016-9442 | 2013-10-16 |
| 1154674166 | Lake Karl Properties, Inc. | Assisted Living Facility | 13009 Lake Karl Dr, Hudson, FL 34669-2374 | 2012-10-16 |
| Find all providers in HUDSON | ||||
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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.