Monfort Alexandre, CARE TAKER

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

AL13125 Issued in FL

Practice address

1762 SE Carvalho St
Port St Lucie, FL 34983-4554

Phone

(772) 577-3861

Fax

(772) 577-3790

NPI assigned

Aug 15, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fabulous Resort Assisted Living Facilitator LLC

  • Assisted Living Facility
  • Port St Lucie, FL
  • NPI 1700686631
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1013635259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SE CARVALHO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349834554",
            "telephone_number": "772-577-3861",
            "fax_number": "772-577-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SE CARVALHO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349834554",
            "telephone_number": "772-577-3861",
            "fax_number": "772-577-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "MONFORT",
        "name_prefix": "Mr.",
        "credential": "CARE TAKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "AL13125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1762 SE Carvalho St",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349834554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miranda Alexander
• Philippe Alexander
• Alexander'S Healing Hands, Inc.
• Alexander'S Healing Hands, Inc.
• Alexandra Berger, MD-P.a.
• Jemima A Alexis
• Lanise Alexis
• Yunier Alfonsomacia
• Keren Algarin Sanchez
• All for One Home Health Care of PSL, Inc.

• Developmentally Disabled Services Day Training Agency in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.