Ma Maison LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MA MAISON LLC

Practice address

281 SW Bedford Rd
Port St Lucie, FL 34953-6940

Phone

(917) 207-4785

Fax

(772) 361-8525

NPI assigned

Oct 9, 2017

Organization subpart

No

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

Authorized official

Name

Gusti Labatte-Deneau, ANP-BC, ACHPNNPI 1982863163

Title

Owner/Administrator

Phone

(917) 207-4785

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gusti Labatte-Deneau, ARNP

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1982863163
  NPD (past) Authorized official

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1639689243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 SW IVY ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872248",
            "telephone_number": "917-207-4785",
            "fax_number": "772-361-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SW BEDFORD RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536940",
            "telephone_number": "917-207-4785",
            "fax_number": "772-361-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA MAISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "LABATTE-DENEAU",
        "authorized_official_first_name": "GUSTI",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "917-207-4785",
        "authorized_official_credential": "ANP-BC, ACHPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne C Erbe OD PA
• M & a Psychotherapy
• M&D Residential Services, Inc
• M&R Wellness Center, LLC
• Ma Maison LLC
• Carole Jean Mabus, CAROLE MABUS
• Jessica Lyn Macchione
• Tracey Irene Maccia, ITDS
• Tina Louise Macdougall, APRN, FNP-BC
• Omar Agustin Machado Franco

• 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 9, 2017; 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.