Paradise Port St Lucie, Llc in Port St Lucie - Assisted Living Facility
Paradise Port St Lucie, Llc - NPI 1407023054
Paradise Port St Lucie, Llc is a Assisted Living Facility in Port St Lucie, Florida. Paradise Port St Lucie, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Paradise Port St Lucie, Llc is 1407023054. The last update date is 2008-05-13.
Paradise Port St Lucie, Llc's current location address is 2277 Se Lennard Rd, Port St Lucie, Florida. You can contact this provider via phone number 7723988899 and fax number 7723983322. The mailing address for Paradise Port St Lucie, Llc is 2277 Se Lennard Rd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paradise Port St Lucie, Llc |
|---|---|
| Address | 2277 Se Lennard Rd, Port St Lucie, Florida |
| Phone Number | 7723988899 |
| Fax Number | 7723983322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bass Rose Tina |
| Telephone Number | 7723988899 |
NPI Number Detail
| NPI Number | 1407023054 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 2277 Se Lennard Rd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349526889 |
| Phone Number | 7723988899 |
| Fax Number | 7723983322 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | AL8585 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 679064000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paradise Port St Lucie, Llc?
The Paradise Port St Lucie, Llc has been issued the NPI (National Provider Identifier) 1407023054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Paradise Port St Lucie, Llc's physical address?
The Paradise Port St Lucie, Llc is physically located at 2277 Se Lennard Rd, in the city of Port St Lucie, FL, with the postal code 349526889.
What is the Paradise Port St Lucie, Llc's area of specialization and corresponding taxonomy classification?
The Paradise Port St Lucie, Llc's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Paradise Port St Lucie, Llc receive the assignment of its 1407023054 from the Centers for Medicare & Medicaid Services?
The Paradise Port St Lucie, Llc was issued its 1407023054 by the Centers for Medicare & Medicaid Services on 2008-05-13.
When was the information related to Paradise Port St Lucie, Llc most recently updated or refreshed?
The details pertaining to the Paradise Port St Lucie, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-13.
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