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MAVIS HINSON ADULT FAMILY CARE HOME
NPI 1972902096
Custodial Care Facility - Adult Care Home in Fort Pierce, FL

Active since August 14, 2014
600 SOUTH 10TH STREET, FORT PIERCE, FL 34950(772) 460-8498(772) 460-8498 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About MAVIS HINSON ADULT FAMILY CARE HOME

This page provides the complete NPI Profile along with additional information for Mavis Hinson Adult Family Care Home, a provider established in Fort Pierce, Florida operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1972902096 assigned on August 2014. The practitioner's primary taxonomy code is 311ZA0620X with license number 6906464 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Mavis Ernestine Hinson (Provider)

NPI
1972902096 Verify this NPI
Provider Name
MAVIS HINSON ADULT FAMILY CARE HOME
Entity Type
Organization
Location Address
600 SOUTH 10TH STREET FORT PIERCE, FL 34950
Location Phone
(772) 460-8498
Location Fax
(772) 460-8498
Mailing Address
600 SOUTH 10TH STREET FORT PIERCE, FL 34950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2014
Last Update Date
08-14-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
6906464
License State
FL
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MAVIS ERNESTINE HINSON

Authorized Official Title
PROVIDER
Authorized Official Phone
(772) 460-8498

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Frequently Asked Questions

What is MAVIS HINSON ADULT FAMILY CARE HOME's NPI number?

The NPI number assigned to this healthcare provider is 1972902096, enumerated as an "organization" on August 14, 2014.

Where is the provider located?

The provider is located at 600 SOUTH 10TH STREET FORT PIERCE, FL 34950 and the phone number is (772) 460-8498.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.