Healthcare Provider Details

I. General information

NPI: 1801879069
Provider Name (Legal Business Name): MAYFLOWER RETIREMENT CENTER INC. DBA MAYFLOWER HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 MAYFLOWER COURT
WINTER PARK FL
32792-2508
US

IV. Provider business mailing address

1620 MAYFLOWER CT
WINTER PARK FL
32792-2500
US

V. Phone/Fax

Practice location:
  • Phone: 407-672-1620
  • Fax: 855-382-6776
Mailing address:
  • Phone: 407-672-1620
  • Fax: 407-671-6336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5NF1328096
License Number StateFL

VIII. Authorized Official

Name: MS. CANDY M BOWLING
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 407-672-1620