Provider Demographics
NPI:1144973751
Name:MY MEMORY CARE LLC
Entity type:Organization
Organization Name:MY MEMORY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RABAZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:321-247-7063
Mailing Address - Street 1:7000 SPYGLASS CT STE 501
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8288
Mailing Address - Country:US
Mailing Address - Phone:321-247-7063
Mailing Address - Fax:321-222-5256
Practice Address - Street 1:7000 SPYGLASS CT STE 501
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8747
Practice Address - Country:US
Practice Address - Phone:321-247-7063
Practice Address - Fax:321-222-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty