YOUR PERSONALIZED CARE SERVICES, LLC (NPI# 1972084697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972084697 |
Entity Type | Organization |
Organization Name | YOUR PERSONALIZED CARE SERVICES, LLC |
Practice Address |
8960 Carlton Rd Port St Lucie FL 34987-3225 |
Practice Telephone | 7729717951 |
Mailing Telephone | 7729717951 |
Enumeration Date | 2018-08-22 |
Last Update Date | 2018-10-05 |
Authorized Official Name | ANGELA EVELYN WINTON-GRUBER (PRESIDENT) |
Authorized Official Telephone | 7729717951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
8960 Carlton Rd, Port St Lucie, FL 349873225 | 7729717951 |
Street Address |
8960 CARLTON RD |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34987-3225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
Find all providers in zip 34987 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649766676 | Reference Home Care Inc | Clinic/Center | 1845 Sw Via Rossa, Port St Lucie, FL 34953-4665 | 2018-07-02 |
1497259741 | Uniquely 4 Hearts, LLC | Clinic/Center | 1808 Se North Buttonwood Dr, Port St Lucie, FL 34952-6967 | 2018-03-21 |
1447753694 | Shakera Ann Morris | Clinic/Center | 905 Ne Prima Vista Blvd Ste A, Port St Lucie, FL 34952-2360 | 2018-03-14 |
1780197749 | Tiffany Losius | Clinic/Center | 2065 Se Lennard Rd Apt 105, Port St Lucie, FL 34952-4752 | 2017-11-13 |
1821501156 | Philippe Alexander | Clinic/Center | 6365 Nw Regal Cir, Port St Lucie, FL 34983-5358 | 2017-11-08 |
1669984167 | Brian Tatum | Clinic/Center | 6905 Heritage Dr, Port St Lucie, FL 34952-8227 | 2017-10-25 |
1689104192 | Sophia Bourdeau | Clinic/Center | 159 Sw South Danville Cir, Port St Lucie, FL 34953-5929 | 2017-06-16 |
1174037592 | Marlene Y Samuels | Clinic/Center | 4241 Sw Hagaplan St, Port St Lucie, FL 34953-6583 | 2017-11-21 |
1558801324 | Valley Stream Gardens Inc | Clinic/Center | 482 Sw Todd Ave, Port St Lucie, FL 34983-2914 | 2017-02-27 |
1073068318 | Quality Home Health | Clinic/Center | 8944 Sandshot Ct Apt A, Port St Lucie, FL 34986-3607 | 2016-08-16 |
Find all providers in PORT ST LUCIE |
City | PORT ST LUCIE |
Zip Code | 34987 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.