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MARYSE DESLOUCHES
NPI 1417696618
Custodial Care Facility - Adult Care Home in Port St Lucie, FL

Active since June 03, 2022
150 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984(305) 956-9030 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryse Deslouches NPPES

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

MARYSE DESLOUCHES (NPI 1417696618) is an individual adult care home provider in Port St Lucie, Florida, licensed in Florida (6907068) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1417696618
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMARYSE DESLOUCHES
Location Address150 SW PORT ST LUCIE BLVDPort St Lucie, FL 34984-5041
Mailing Address150 Sw Port St Lucie BlvdPort St Lucie, FL 34984-5041 · (305) 956-9030
Phone(305) 956-9030
Sole ProprietorYes
Enumeration DateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1417696618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6907068
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
150 SW PORT ST LUCIE BLVD, Port St Lucie, FL 34984
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Other Identifiers 1

Medicaid113078100FL

Other Providers at the Same Location NPPES 3

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

B & B ANGEL'S HOME LLC
Assisted Living Facility
150 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984
St. Lucie County (305) 956-9030
UNIQUE HELPING HANDS INC
Assisted Living Facility
150 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984
St. Lucie County (772) 882-5632
B & B ANGELS HOUSE
Custodial Care Facility (Adult Care Home)
150 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34984
St. Lucie County (305) 956-9030

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 Maryse Deslouches's NPI number?

The NPI number for Maryse Deslouches is 1417696618. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Maryse Deslouches located?

Maryse Deslouches practices at 150 SW Port St Lucie Blvd, Port St Lucie, FL 34984. The listed phone number is (305) 956-9030.

What is Maryse Deslouches's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Maryse Deslouches was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.