Baxter'S Adult Living Facility. Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11666 Issued in FL

Legal business name

BAXTER'S ADULT LIVING FACILITY. INC

Doing business as

Baxter's Adult Home

Practice address

1092 SW Majorca Avenue
Port St Lucie, FL 34953

Phone

(772) 871-7865

Fax

(772) 871-7988

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Yvonne S Frelani

Title

Owner/Administrator

Phone

(772) 871-7865

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Baxter's Adult Home Doing business as

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1104269026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 SW MAJORCA AVENUE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-871-7865",
            "fax_number": "772-871-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 SW MAJORCA AVENUE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-871-7865",
            "fax_number": "772-871-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER'S ADULT LIVING FACILITY. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "FRELANI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-871-7865"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "11666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001599100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baxter's Adult Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Bates
• Cassidy Baugh
• Esteban Baute, PA-C
• John William Baute, M.D.
• Paula Baxley, MSW
• Janet Bayramyan, MSW, LCSW
• BD Care Giver and Companion Services
• Be Here Now LLC
• Be Well Care LLC
• Beaches MRI of PSL, LLC

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.