Provider Demographics
NPI:1750274536
Name:MERRIEX CARE PLACE LLC
Entity type:Organization
Organization Name:MERRIEX CARE PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VATASSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRIEX
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:727-269-1778
Mailing Address - Street 1:1135 NEWTON AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-2438
Mailing Address - Country:US
Mailing Address - Phone:727-269-1778
Mailing Address - Fax:727-269-1778
Practice Address - Street 1:1135 NEWTON AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2438
Practice Address - Country:US
Practice Address - Phone:727-269-1778
Practice Address - Fax:727-269-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health