B & B Angel'S Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

B & B ANGEL'S HOME LLC

Doing business as

B & B ANGEL'S HOME LLC

Practice address

150 SW Port St Lucie Blvd
Port St Lucie, FL 34984-5041

Phone

(305) 956-9030

NPI assigned

Nov 7, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Maryse DeslouchesNPI 1417696618

Title

Owner

Phone

(305) 956-9030

Specialties & licenses 1

Addresses

Other names 1

• B & B ANGEL'S HOME LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryse Deslouches

  • Adult Care Home Facility
  • Port St Lucie, FL
  • NPI 1417696618
  NPD Authorized official

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1164295564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845041",
            "telephone_number": "305-956-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845041",
            "telephone_number": "305-956-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & B ANGEL'S HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "DESLOUCHES",
        "authorized_official_first_name": "MARYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-956-9030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & B ANGEL'S HOME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Zara Saba Azhar, MD
• Azof Enterprises Inc
• B & B Angels House
• B & K Traffic School Multiservices LLC
• Marc-Alain Babi, M.D
• Ikola Baccas, APRN
• Kareena Annupa Bachan, CCC-SLP

• 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 Nov 7, 2023; 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.