IndividualActive
Mary Jenkins
NPI 1013413194 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hollywood, FL
Provider details
- NPI number
- 1013413194
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5726 Washington St
Hollywood, FL 33023-1480
Phone: (786) 853-5386
Street-level locationGet directions
Mailing address
15751 Nw 28th Ct
Miami Gardens, FL 33054-2212
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 2018-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.