Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY'S HOUSE PALMETTO BAY ALF, LLC
NPI 1063302958
Assisted Living Facility in Palmetto Bay, FL

Q: What is Mary's House Palmetto Bay Alf, LLC's NPI number?

The NPI number for Mary's House Palmetto Bay Alf, LLC is 1063302958. It was assigned to this organization in the NPPES registry on July 3, 2025.

Q: What is Mary's House Palmetto Bay Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since July 03, 2025

13601 SW 84TH AVE, PALMETTO BAY, FL 33158(786) 486-7673 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jul 3, 2025 (2 updates tracked since 2025).

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About Mary's House Palmetto Bay Alf, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY'S HOUSE PALMETTO BAY ALF, LLC (NPI 1063302958) is a healthcare organization registered as an assisted living facility in Palmetto Bay, Florida and active in the NPI registry since July 2025. The organization lists Rosa Derosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1063302958

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMARY'S HOUSE PALMETTO BAY ALF, LLC

Location Address13601 SW 84TH AVEPalmetto Bay, FL 33158-1029

Mailing Address7002 Sw 76th StMiami, FL 33143-4323 · (786) 486-7673

Phone(786) 486-7673

Organization SubpartNo

Authorized OfficialRosa DerosaOwner · (786) 486-7673

Enumeration DateJuly 3, 2025

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1063302958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

13601 SW 84TH AVE, Palmetto Bay, FL 33158

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary's House Palmetto Bay Alf, LLC's NPI number?

The NPI number for Mary's House Palmetto Bay Alf, LLC is 1063302958. It was assigned to this organization in the NPPES registry on July 3, 2025.

Where is Mary's House Palmetto Bay Alf, LLC located?

Mary's House Palmetto Bay Alf, LLC is located at 13601 SW 84th Ave, Palmetto Bay, FL 33158. The listed phone number is (786) 486-7673.

What is Mary's House Palmetto Bay Alf, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Mary's House Palmetto Bay Alf, LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.