Organization Active NPI

Saleyma Health Med Waiver Services, LLC

  • In Home Supportive Care Agency
  • Port Saint Lucie, FL
National Provider Identifier
1447789730
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SALEYMA HEALTH MED WAIVER SERVICES, LLC
Practice address
1302 SW Paar Dr
Port Saint Lucie, FL 34953-6155
Phone
(321) 888-1371
Fax
(772) 408-0574
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Fritz Masson Alexandre, RMA, MPH
Title
Ceo/Owner
Phone
(321) 888-1371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1302 SW Paar Dr
Port Saint Lucie, FL 34953-6155

Mailing address

1302 SW Paar Dr
Port Saint Lucie, FL 34953-6155
Phone (321) 888-1371

Other practice location 1

1302 SW Paar Dr
Port Saint Lucie, FL 34953-6155
Phone (321) 888-1371

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447789730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SW PAAR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536155",
            "telephone_number": "321-888-1371",
            "fax_number": "772-408-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SW PAAR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349536155",
            "telephone_number": "321-888-1371",
            "fax_number": "772-408-0574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 SW Paar Dr",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349536155",
            "country_code": "US",
            "telephone_number": "321-888-1371",
            "fax_number": "772-408-0574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SALEYMA HEALTH MED WAIVER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_middle_name": "MASSON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "321-888-1371",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RMA, MPH"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "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 Jul 21, 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.