FABULOUS RESORT ASSISTED LIVING FACILITATOR LLC (NPI# 1083113070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083113070 |
| Entity Type | Organization |
| Organization Name | FABULOUS RESORT ASSISTED LIVING FACILITATOR LLC |
| Other Organization Name | FABIOLA ALEXANDRE |
| Practice Address |
1762 Se Carvalho St Port Saint Lucie FL 34983-4554 |
| Practice Telephone | 5615412089 |
| Mailing Telephone | 5615412089 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | FABIOLA ALEXANDRE (ADMINISTRATOR) |
| Authorized Official Telephone | 5615412089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL13125 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Fabiola Alexandre | Other Name - Individual/Organization |
| Street Address |
1762 SE CARVALHO ST |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34983-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224109 | Skytop Transportation Inc | Non-emergency Medical Transport (VAN) | 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 | 2019-06-17 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1275032252 | Charlotte Simpkins | Nurse's Aide | 462 Se Faith Terrace, Port Saint Lucie, FL 34983 | 2018-02-06 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1922535137 | Superior Living 'llc' | Assisted Living Facility | 496 Southeast Verada, Port St Lucie, FL 34983 | 2017-05-18 |
| 1760931562 | Lisa A Joseph | Registered Nurse | 1602 Se Sandia Dr, Psl, FL 34983 | 2016-09-22 |
| 1891146270 | Janet Bayramyan | Counselor | 453 Nw Dover Ct, Port St Lucie, FL 34983 | 2016-06-27 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1942682406 | Vikash Dahya | Dentist | 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 | 2015-06-22 |
| Find all providers in zip 34983 | ||||
| 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 |
|---|---|---|---|---|
| 1629697446 | Browns House Assisted Living Facility LLC | Assisted Living Facility | 2241 Se Melaleuca Blvd, Port Saint Lucie, FL 34952-6748 | 2020-04-12 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1457814832 | Michael Noelus | Assisted Living Facility | 554 Nw Kilpatrick Ave, Port Saint Lucie, FL 34983-8719 | 2019-04-11 |
| 1881152882 | Zulia Brenovil | Assisted Living Facility | 578 Sw Violet Ave, Port Saint Lucie, FL 34983-8739 | 2019-03-08 |
| 1275091472 | Eugnie Mcpherson | Assisted Living Facility | 6260 Nw Topaz Way, Port Saint Lucie, FL 34986-3863 | 2019-03-06 |
| 1407343361 | St. Lucie Hope Gardens LLC | Assisted Living Facility | 337 Sw Grimaldo Teraace, Port Saint Lucie, FL 34984 | 2018-04-17 |
| 1700398799 | Live Love Laugh Assissted Living | Assisted Living Facility | 1766 Sw Columbia St, Port Saint Lucie, FL 34987-2073 | 2017-10-30 |
| 1356867592 | Oneil Mcewan | Assisted Living Facility | 4022 Sw Bamberg Street, Port Saint Lucie, FL 34953 | 2017-08-18 |
| 1962936591 | Unique Helping Hands Inc | Assisted Living Facility | 150 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34984-5041 | 2017-04-20 |
| 1568908259 | Sunshine Family Alf, LLC | Assisted Living Facility | 5817 Nw Gerald Cir, Port Saint Lucie, FL 34986-4168 | 2017-01-18 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34983 |
Please comment or provide details below to improve the information on FABULOUS RESORT ASSISTED LIVING FACILITATOR 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.