Organization Active NPI

Your Personalized Care Services, LLC

  • Developmental Disabilities Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1972084697
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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

Updated by the provider on Oct 5, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.