=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033377262
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARGARET AM INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2008
-----------------------------------------------------
Last Update Date | 05/23/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6493 66TH ST
-----------------------------------------------------
City | PINELLAS PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33781-5029
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-547-7000
-----------------------------------------------------
Fax | 727-547-7022
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6493 66TH ST
-----------------------------------------------------
City | PINELLAS PARK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33781-5029
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-547-7000
-----------------------------------------------------
Fax | 727-547-7022
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR/OWNER
-----------------------------------------------------
Name | MRS. MARGARET ANNE MAIRN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 727-547-7000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 3025096
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------