OrganizationActive
Angela Stalling
NPI 1114321635 · Custodial Care Facility · Port St Lucie, FL
Provider details
- NPI number
- 1114321635
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Stallings, Owner(772) 777-0367
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
473 Nw Selvitz Rd
Port St Lucie, FL 34983-1033
Phone: (772) 777-0367
Street-level locationGet directions
Mailing address
473 Nw Selvitz Rd
Port St Lucie, FL 34983-1033
Other names (DBA / former)
- Doing business as
- Angie'S Special Care
Registry dates
- Enumerated
- 2014-10-13
- Last updated
- 2014-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.