IDEAL SUPPORT SERVICES LLC NPI 1518507532

NPI Information

  • NPI: 1518507532
  • Provider Name: IDEAL SUPPORT SERVICES, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 1031 SW JERICHO AVE
    PORT ST LUCIE, FL
    ZIP 34953
  • Phone: (772) 519-4053

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NPI Details

IDEAL SUPPORT SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Port St Lucie, FL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. IDEAL SUPPORT SERVICES, LLC NPI is 1518507532. The provider is registered as an organization entity type.

The provider's business location address is:

1031 SW JERICHO AVE
PORT ST LUCIE, FL
ZIP 34953-216
Phone: (772) 519-4053
Fax: (772) 237-2590

The provider's authorized official is Lysseeveth Serrano .
The authorized official title is Owner/provider and has the following contact phone number (772) 519-4053.

The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.

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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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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