OrganizationActive
Ma Maison LLC
NPI 1639689243 · Assisted Living Facility · Port St Lucie, FL
Provider details
- NPI number
- 1639689243
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gusti Labatte-Deneau, Owner/Administrator(917) 207-4785
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
281 Sw Bedford Rd
Port St Lucie, FL 34953-6940
Phone: (917) 207-4785
Fax: (772) 361-8525
Street-level locationGet directions
Mailing address
1632 Sw Ivy St
Port St Lucie, FL 34987-2248
Registry dates
- Enumerated
- 2017-10-09
- Last updated
- 2017-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.