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JAMAICA SHORES ASSISTED LIVING FACILITY NPI 1144497884


NPI Information

NPI: 1144497884
Provider Name: JAMAICA SHORES ASSISTED LIVING FACILITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D1053976

Address:
171 SW EULER AVE
PORT ST LUCIE, FL
ZIP 34953
Phone: (772) 446-7333
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JAMAICA SHORES ASSISTED LIVING FACILITY is an assisted living facility in Port St Lucie, FL. The provider is 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. JAMAICA SHORES ASSISTED LIVING FACILITY NPI is 1144497884. The provider is registered as an organization entity type.

The provider's business location address is:

171 SW EULER AVE
PORT ST LUCIE, FL
ZIP 34953-452
Phone: (772) 446-7333

The provider's authorized official is Rose Winsome Sawyers .
The authorized official title is Administrator and has the following contact phone number (772) 446-7333.

The CLIA number assigned to this NPI record is 10D1053976 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL10806FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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