MG Lovely Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MG LOVELY HOME LLC

Practice address

2073 SE Rainier Rd
Port St Lucie, FL 34952-7615

Phone

(305) 927-0477

Fax

(305) 387-1555

NPI assigned

Oct 21, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenda Villarreal Lopez

Title

Owner

Phone

(305) 927-0477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1497652747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 SE RAINIER RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527615",
            "telephone_number": "305-927-0477",
            "fax_number": "305-387-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 SE RAINIER RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527615",
            "telephone_number": "305-927-0477",
            "fax_number": "305-387-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG LOVELY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL LOPEZ",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-927-0477"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Elizabeth Merson, P.T.
• Damaris Mesa
• Lauren Messina
• Edmond Louis Metellus
• Joanise Metelus
• MGM Labs LLC
• Jessi Micalizzi
• Michael a Garvin DPM PA
• Michael a Garvin DPM PA
• Michael a Garvin, DPM, PA

• 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 Oct 21, 2026; 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.