BAYSHORE RESIDENCE ALF NPI 1497922538

NPI Information

  • NPI: 1497922538
  • Provider Name: BAYSHORE RESIDENCE ALF
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: ASSISTED LIVING FACILITY
  • Address: 686 SW LUCERO DR
    PORT SAINT LUCIE, FL
    ZIP 34983
  • Phone: (772) 871-1106

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NPI Details

BAYSHORE RESIDENCE ALF is an adult day care clinic center in Port Saint Lucie, FL. BAYSHORE RESIDENCE ALF NPI is 1497922538. The provider is registered as an organization entity type.
The provider Is Doing Business As Assisted Living Facility.

The provider's business location address is:

686 SW LUCERO DR
PORT SAINT LUCIE, FL
ZIP 34983-894
Phone: (772) 871-1106
Fax: (772) 871-1104

The provider's authorized official is Violet Verona Burke7728711106 .
The authorized official title is Administrator and has the following contact phone number (772) 871-1106.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day CareAL750FLORIDAYes

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: 11/21/2025

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