MARLENE Y SAMUELS MED-WAIVER PROVIDER
NPI 1174037592
Clinic/Center - Developmental Disabilities in Port St Lucie, FL

Q: What is Marlene Samuels's NPI number?

The NPI number for Marlene Samuels is 1174037592. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Q: What is Marlene Samuels's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Samuels was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2017

4241 SW HAGAPLAN ST, PORT ST LUCIE, FL 34953(772) 224-4466 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marlene Y Samuels Med-waiver Provider NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE Y SAMUELS MED-WAIVER PROVIDER (NPI 1174037592) is an individual developmental disabilities provider in Port St Lucie, Florida and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1174037592

Entity TypeIndividualFemale

Primary Taxonomy261QD1600X

Provider Legal NameMARLENE Y SAMUELSCredential: MED-WAIVER PROVIDER

Location Address4241 SW HAGAPLAN STPort St Lucie, FL 34953-6583

Mailing Address4241 Sw Hagaplan StPort St Lucie, FL 34953-6583 · (772) 224-4466

Phone(772) 224-4466

Sole ProprietorYes

Enumeration DateNovember 21, 2017

✔ NPI 1174037592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

4241 SW HAGAPLAN ST, Port St Lucie, FL 34953

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Other Identifiers 1

Medicaid261QD1600XFL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRIENDS FOREVER, LLC

Home Health

4241 SW HAGAPLAN ST
PORT ST LUCIE, FL 34953

St. Lucie County (772) 224-4466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Samuels's NPI number?

The NPI number for Marlene Samuels is 1174037592. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Where is Marlene Samuels located?

Marlene Samuels practices at 4241 SW Hagaplan St, Port St Lucie, FL 34953. The listed phone number is (772) 224-4466.

What is Marlene Samuels's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Marlene Samuels was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.