Organization Active NPI

My Place Service Center, LLC

  • Non-emergency Medical Transport (VAN)
  • Port Saint Lucie, FL
National Provider Identifier
1194486969
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MY PLACE SERVICE CENTER, LLC
Practice address
5448 NW Comer St
Port Saint Lucie, FL 34986-4013
Phone
(561) 502-6179
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Authorized official

Name
Mario Aleus
Title
Owner/Manager
Phone
(561) 502-6179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Taxi 344600000X

Addresses

Primary practice location

5448 NW Comer St
Port Saint Lucie, FL 34986-4013

Mailing address

5448 NW Comer St
Port Saint Lucie, FL 34986-4013
Phone (561) 502-6179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1194486969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 NW COMER ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864013",
            "telephone_number": "561-502-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 NW COMER ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349864013",
            "telephone_number": "561-502-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PLACE SERVICE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "ALEUS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "561-502-6179"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

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