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PARADISE ALF 2017 NPI 1790213056


NPI Information

NPI: 1790213056
Provider Name: PARADISE ALF 2017

Doing Business As: PARADISE CARE COTTAGE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2277 SE LENNARD RD
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 398-8899
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PARADISE ALF 2017 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. PARADISE ALF 2017 NPI is 1790213056. The provider is registered as an organization entity type.
The provider Is Doing Business As Paradise Care Cottage.

The provider's business location address is:

2277 SE LENNARD RD
PORT ST LUCIE, FL
ZIP 34952-889
Phone: (772) 398-8899

The provider's authorized official is Meir Cosiol .
The authorized official title is Managing Member and has the following contact phone number (772) 219-8989.

The enumeration date for this NPI number is 5/31/2017 and was last updated on 5/31/2017.


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 Facility8585FLORIDAYes

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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