MEDICARE: MERRIEX CARE PLACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1750274536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERRIEX CARE PLACE LLC

Provider Business Mailing Address
First Line	:	1135 NEWTON AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-2438
Country	:	US
Telephone Number	:	727-269-1778
Fax Number	:	727-269-1778

Provider Business Practice Location Address
First Line	:	1135 NEWTON AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-2438
Country	:	US
Telephone Number	:	727-269-1778
Fax Number	:	727-269-1778

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VATASSA MERRIEX
Credential	:	CEO
Telephone Number	:	727-269-1778

Provider Enumeration Date	:	05/31/2025
Last Update Date	:	05/31/2025

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