Active NPI
Angela Stalling
Doing business as Angie's Special Care
- Custodial Care Facility
- Port St Lucie, FL
National Provider Identifier
1114321635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Anesthesia Dynamics LLC
- Anesthesia Physician Solutions of South Florida, LLC
- Anesthesia Physician Solutions of South Florida, LLC
- Angel Hands Diagnostics LLC
- Angel of Light Assisted Living Facility, LLC
- Angelicoo Services LLC
- Renata Angelini, MD
- Anointed Medical Supplies, LLC
- Ansas LLC
- Elvanette Antenor
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.