Provider Demographics
NPI:1073737276
Name:MARI INVESTMENTS
Entity type:Organization
Organization Name:MARI INVESTMENTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MADONDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:615-365-7316
Mailing Address - Street 1:1321 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 606
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2626
Mailing Address - Country:US
Mailing Address - Phone:615-365-7316
Mailing Address - Fax:615-365-7318
Practice Address - Street 1:1321 MURFREESBORO PIKE
Practice Address - Street 2:SUITE 606
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2626
Practice Address - Country:US
Practice Address - Phone:615-365-7316
Practice Address - Fax:615-365-7318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2011-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL 3(20)4M3-027-3684251C00000X
TN251E00000X, 385H00000X, 320900000X, 253Z00000X, 320600000X
TNPSS0000000166251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00000000Medicaid