NPIMap

Organization Active NPI

Darleen Unique Provider Services,LLC

  • In Home Supportive Care Agency
  • Port Saint Lucie, FL
National Provider Identifier
1710330550
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DARLEEN UNIQUE PROVIDER SERVICES,LLC
Practice address
681 SW Fredrica St
Port Saint Lucie, FL 34983-1875
Phone
(954) 655-9682
NPI assigned
Jul 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Darlene DessourcesNPI 1902303498
Title
Provider
Phone
(954) 655-9682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

681 SW Fredrica St
Port Saint Lucie, FL 34983-1875

Mailing address

681 SW Fredrica St
Port Saint Lucie, FL 34983-1875
Phone (954) 655-9682

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1710330550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 SW FREDRICA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831875",
            "telephone_number": "954-655-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SW FREDRICA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831875",
            "telephone_number": "954-655-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLEEN UNIQUE PROVIDER SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "DESSOURCES",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "954-655-9682"
    },
    "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
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "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 Aug 4, 2021; 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.