=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306060470
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAY MONROE GROUP INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3959 S NOVA RD SUITE 26
-----------------------------------------------------
City | PORT ORANGE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32127-9278
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-322-8882
-----------------------------------------------------
Fax | 386-322-8661
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 290095
-----------------------------------------------------
City | PORT ORANGE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32129-0095
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-322-8882
-----------------------------------------------------
Fax | 386-322-8661
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BARBARA MAY COHEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 386-322-1807
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 228399
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------