PARADISE PORT ST LUCIE, LLC (NPI# 1407023054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407023054 |
| Entity Type | Organization |
| Organization Name | PARADISE PORT ST LUCIE, LLC |
| Other Organization Name | PARADISE CARE COTTAGE |
| Practice Address |
2277 Se Lennard Rd Port St Lucie FL 34952-6889 |
| Practice Telephone | 7723988899 |
| Practice Fax Number | 7723983322 |
| Mailing Telephone | 7723988899 |
| Mailing Fax Number | 7723983322 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MS. TINA ROSE BASS (ADMINISTRATOR) |
| Authorized Official Telephone | 7723988899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL8585 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 679064000 | 05 |
| Other Name | Type Code |
|---|---|
| Paradise Care Cottage | Doing Business As Name - Organization |
| Street Address |
2277 SE LENNARD RD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-6889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518138122 | Glory Guerrero Arnp, LLC | Assisted Living Facility | 2277 Se Lennard Rd, Port St Lucie, FL 34952-6889 | 2008-03-22 |
| 1790213056 | Paradise Alf 2017 | Assisted Living Facility | 2277 Se Lennard Rd, Port St Lucie, FL 34952-6889 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1952947228 | Savorah Alf II | Assisted Living Facility | 2369 Sw Fern Cir, Port St Lucie, FL 34953-2951 | 2019-11-21 |
| 1598224669 | Blessings Assisted Living | Assisted Living Facility | 2449 Sw Humber Ct, Port St Lucie, FL 34953-2133 | 2019-03-18 |
| 1427517762 | Springfield Gardens Group Home | Assisted Living Facility | 443 Sw Homeland Rd, Port St Lucie, FL 34953-6208 | 2019-03-17 |
| 1285104463 | Caring Assisted Living, LLC | Assisted Living Facility | 2588 Sw Grotto Cir, Port St Lucie, FL 34953-2926 | 2018-11-29 |
| 1760967590 | Angel of Light Assisted Living Facility, LLC | Assisted Living Facility | 613 Sw Homeland Rd, Port St Lucie, FL 34953-6263 | 2018-09-27 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1033696232 | New Dimension Family Care Inc. | Assisted Living Facility | 849 Sw Hamberland Ave, Port St Lucie, FL 34953-5629 | 2018-07-20 |
| 1659857001 | Heavenly Adult Care LLC | Assisted Living Facility | 3934 Sw Kakopo St, Port St Lucie, FL 34953-3631 | 2018-07-18 |
| 1336635796 | Avalon Family Resort Assisted Living | Assisted Living Facility | 160 Sw Saratoga Ave, Port St Lucie, FL 34953-5977 | 2018-07-09 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on PARADISE PORT ST LUCIE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.