Sa-Pg -Port St Lucie Llc in Port St Lucie - Skilled Nursing Facility

Sa-Pg -Port St Lucie Llc - NPI 1982600102

Sa-Pg -Port St Lucie Llc is a Skilled Nursing Facility in Port St Lucie, Florida. Sa-Pg -Port St Lucie Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sa-Pg -Port St Lucie Llc is 1982600102. The last update date is 2008-07-22.

Sa-Pg -Port St Lucie Llc's current location address is 1751 Se Hillmoor Dr, Port St Lucie, Florida. You can contact this provider via phone number 7723358844 and fax number 7723359954. The mailing address for Sa-Pg -Port St Lucie Llc is 1751 Se Hillmoor Dr, Port St Lucie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sa-Pg -Port St Lucie Llc
Address 1751 Se Hillmoor Dr, Port St Lucie, Florida
Phone Number 7723358844
Fax Number 7723359954
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name Paley Alex
Telephone Number 9143904363

NPI Number Detail

NPI Number 1982600102
Provider Enumeration Date 2005-06-22
Last Updated Date 2008-07-22

Provider Mailing Address Detail

Address 1751 Se Hillmoor Dr
City Port St Lucie
State Florida (FL)
Post Code 349527535
Phone Number 7723358844
Fax Number 7723359954

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF1419096
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25724900 FL --

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FAQs about Sa-Pg -Port St Lucie Llc

What is the unique 10-digit identifier code assigned to Sa-Pg -Port St Lucie Llc by the Centers for Medicare & Medicaid Services?

The Sa-Pg -Port St Lucie Llc has been issued the NPI (National Provider Identifier) 1982600102 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Sa-Pg -Port St Lucie Llc's facilities are geographically located?

The facilities of Sa-Pg -Port St Lucie Llc are physically situated at the following location: 1751 Se Hillmoor Dr, Port St Lucie, FL, 349527535.

What is Sa-Pg -Port St Lucie Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sa-Pg -Port St Lucie Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982600102 to Sa-Pg -Port St Lucie Llc?

The Sa-Pg -Port St Lucie Llc received its 1982600102 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.

When was the information related to Sa-Pg -Port St Lucie Llc most recently updated or refreshed?

The details pertaining to the Sa-Pg -Port St Lucie Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-22.

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