Organization Active NPI

Lesaldo House, LLC

  • In Home Supportive Care Agency
  • Port Saint Lucie, FL
National Provider Identifier
1235531633
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LESALDO HOUSE, LLC
Practice address
422 SW Tulip Blvd
Port Saint Lucie, FL 34953-6243
Phone
(772) 873-1190
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Miss Dawnmarie Lesaldo
Title
Ceo
Phone
(772) 873-1190

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

422 SW Tulip Blvd
Port Saint Lucie, FL 34953-6243

Mailing address

422 SW Tulip Blvd
Port Saint Lucie, FL 34953-6243
Phone (772) 873-1190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1235531633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 SW TULIP BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536243",
            "telephone_number": "772-873-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 SW TULIP BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536243",
            "telephone_number": "772-873-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESALDO HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "LESALDO",
        "authorized_official_first_name": "DAWNMARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-873-1190",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 22, 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.