Organization Active NPI

Angela Stalling

Doing business as Angie's Special Care

  • Custodial Care Facility
  • Port St Lucie, FL
National Provider Identifier
1114321635
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
ANGELA STALLING
Doing business as
Angie's Special Care
Practice address
473 NW Selvitz Rd
Port St Lucie, FL 34983-1033
Phone
(772) 777-0367
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Angela S Stallings
Title
Owner
Phone
(772) 777-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X NU Primary

Addresses

Primary practice location

473 NW Selvitz Rd
Port St Lucie, FL 34983-1033

Mailing address

473 NW Selvitz Rd
Port St Lucie, FL 34983-1033
Phone (772) 777-0367

Other names 1

  • Angie's Special Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1114321635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 NW SELVITZ RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831033",
            "telephone_number": "772-777-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 NW SELVITZ RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831033",
            "telephone_number": "772-777-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA STALLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-777-0367"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angie's Special Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.