| NPI | 1043887631 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-06-10 |
| Last Updated | 2021-06-10 |
| Authorized Official | Victoria Sharpless Director of Accounting Phone: 3528746007 |
| Mailing Address | 3599 W Lake Mary Blvd Lake Mary, FL 32746-3417 United States Phone: (352) 874-6007 | Fax: (352) 404-4078 📍 View Map |
| Primary Practice Address | 1655 Se Walton Rd Port St Lucie, FL 34952-7657 United States Phone: (772) 337-1333 | Fax: (772) 337-6485 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 261637-00 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 314000000X – Skilled Nursing Facility | — | — |
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About NPI 1043887631
Port St Lucie Nursing Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043887631. The primary specialty listed is Skilled Nursing Facility. The organization is located in Port St Lucie, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-06-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043887631?
NPI 1043887631 belongs to Port St Lucie Nursing Llc, a Skilled Nursing Facility in Port St Lucie, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043887631 active?
The current status of NPI 1043887631 in the NPPES registry is Active. The record was last updated on 2021-06-10.
What specialty is NPI 1043887631?
NPI 1043887631 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043887631?
You can verify NPI 1043887631 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043887631?
The primary practice address on file for NPI 1043887631 is 1655 Se Walton Rd, Port St Lucie, FL 34952-7657. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043887631 issued?
NPI 1043887631 was first issued (enumerated) on 2021-06-10. The NPPES record was last updated on 2021-06-10.
Practice Location Map
Port St Lucie Nursing Llc is located at 1655 Se Walton Rd, Port St Lucie, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Port St Lucie Nursing Llc. All records sourced from the CMS NPPES registry.