Active NPI
Your Personalized Care Services, LLC
- Developmental Disabilities Clinic/Center
- Port St Lucie, FL
National Provider Identifier
1972084697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- YOUR PERSONALIZED CARE SERVICES, LLC
- Practice address
- 8960 Carlton Rd
Port St Lucie, FL 34987-3225 - Phone
- (772) 971-7951
- NPI assigned
- Aug 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Evelyn Winton-Gruber
- Title
- President
- Phone
- (772) 971-7951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
8960 Carlton Rd
Port St Lucie, FL 34987-3225
Mailing address
8960 Carlton Rd
Port St Lucie, FL 34987-3225
Phone (772) 971-7951
Other practice location 1
8960 Carlton Rd
Port St Lucie, FL 34987-3225
Phone (772) 971-7951
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538697600000",
"number": "1972084697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8960 CARLTON RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349873225",
"telephone_number": "772-971-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 CARLTON RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349873225",
"telephone_number": "772-971-7951"
}
],
"practiceLocations": [
{
"address_1": "8960 Carlton Rd",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349873225",
"country_code": "US",
"telephone_number": "772-971-7951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "YOUR PERSONALIZED CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2018-10-05",
"status": "A",
"authorized_official_last_name": "WINTON-GRUBER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "EVELYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-971-7951"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.