MRS. MARY MYLENE EVERNHAM (NPI# 1043836968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043836968 |
| Entity Type | Individual |
| Full Name | MRS. MARY MYLENE EVERNHAM |
| Credential | ADMINISTRATOR |
| Practice Address |
3010 Greynolds Ave Spring Hill FL 34608-4221 |
| Practice Telephone | 3525562947 |
| Practice Fax Number | 3525562947 |
| Mailing Telephone | 3525562947 |
| Mailing Fax Number | 3525562947 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 171241113 | FL | Nursing & Custodial Care Facilities |
| Street Address |
3010 GREYNOLDS AVE |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34608-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811239239 | Springhill Gardens Assisted Living,llc | Assisted Living Facility | 3010 Greynolds Ave, Spring Hill, FL 34608-4221 | 2013-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194227967 | Christina Lee O'connor | Nurse Anesthetist, Certified Registered | 10046 Hayward Rd, Spring Hill, FL 34608 | 2018-03-07 |
| 1003342114 | Kaitlyn Peters | Physical Therapy Assistant | 11236 Norvell Rd, Springhill, FL 34608 | 2017-05-10 |
| 1962855932 | Elizabeth Bair | Speech-Language Pathologist | 5136 Florentine Ct, Spring Hill, FL 34608 | 2016-07-14 |
| 1104209022 | Shirley Ann Malone | Home Health Aide | 2092 Landover Blvd, Spring Hill, FL 34608 | 2015-07-09 |
| 1508243155 | Ana Del Carmen Argueta | Pharmacist | 11092 Spring Hill Drive, Spring Hill, FL 34608 | 2015-05-04 |
| 1497151807 | Melissa Mayes | Occupational Therapist | 7045 Evergreen Trail, Spring Hill, FL 34608 | 2014-11-12 |
| 1194075218 | Stephanie S Andrews | Speech-Language Pathologist | 2939 Landover Blvd, Spring Hill, FL 34608 | 2012-09-17 |
| 1720317266 | Cezar Dungca Enriquez | Physical Therapist | 7030 Atria Evergreen Woods Trail, Spring Hill, FL 34608 | 2009-12-11 |
| 1922284363 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5181 Pepper Street, Spring Hill, FL 34608 | 2008-01-16 |
| 1023187960 | Hoka Lisa Nyanda | Dermatology | 11021 Spring Hill Dr, Spring Hill, FL 34608 | 2006-11-07 |
| Find all providers in zip 34608 | ||||
| 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 |
|---|---|---|---|---|
| 1760089247 | Margaret Morzyszek | Assisted Living Facility | 5311 Mariner Blvd, Spring Hill, FL 34609-1634 | 2020-10-07 |
| 1295387918 | Southern Palm Inc | Assisted Living Facility | 1472 Bolger Ave, Spring Hill, FL 34609-6107 | 2019-07-12 |
| 1811451404 | Cobbleston Manor,alf | Assisted Living Facility | 208 Cobblestone Dr, Spring Hill, FL 34606-6331 | 2019-01-28 |
| 1619446341 | Family Extended Care of Spring Hill Nw, Inc. | Assisted Living Facility | 11291 County Line Rd, Spring Hill, FL 34609-5616 | 2018-11-26 |
| 1538577127 | Almost Home, Alf, Inc. | Assisted Living Facility | 14303 Spring Hill Dr, Spring Hill, FL 34609-5234 | 2014-07-27 |
| 1982015145 | Ann's House, Inc. | Assisted Living Facility | 4407 Millwood Rd, Spring Hill, FL 34608-3639 | 2014-05-09 |
| 1104241397 | Mariner Palms Assisted Living Facility | Assisted Living Facility | 5303 Mariner Blvd, Spring Hill, FL 34609-1634 | 2014-02-24 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1376971119 | L&v Sweet Home Care | Assisted Living Facility | 2106 Finland Dr, Spring Hill, FL 34609-3833 | 2013-10-14 |
| 1750718482 | Mullins Canterbury LLC | Assisted Living Facility | 7355 Canterbury St, Spring Hill, FL 34606-4302 | 2013-09-26 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34608 |
Please comment or provide details below to improve the information on MRS. MARY MYLENE EVERNHAM.
| 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.