PATRIOT HEALTH AND WELLNESS (NPI# 1316250764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316250764 |
| Entity Type | Organization |
| Organization Name | PATRIOT HEALTH AND WELLNESS |
| Practice Address |
1701 Se Hillmoor Dr Suite A-1 Port St Lucie FL 34952-7552 |
| Practice Telephone | 7722371313 |
| Practice Fax Number | 8776377509 |
| Mailing Telephone | 7722371313 |
| Mailing Fax Number | 8776377509 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | MR. ARASH MOSSAFA (ONWER) |
| Authorized Official Telephone | 7722371313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | FL | Residential Treatment Facilities |
| Street Address |
1701 SE HILLMOOR DR SUITE A-1 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427591684 | Arthritis and Rheumatology Associates of Treasure Coast LLC | Internal Medicine | 1701 Se Hillmoor Dr, Suite D-16, Port St Lucie, FL 34952-7552 | 2016-11-21 |
| 1760721328 | Margaret Heger | Counselor | 1701 Se Hillmoor Dr, Suite 17, Port St Lucie, FL 34952-7552 | 2013-02-01 |
| 1780938241 | Cristian J Presutti M.d., P.l. | Family Medicine | 1701 Se Hillmoor Dr, Suite # 7, Port St Lucie, FL 34952-7552 | 2012-11-06 |
| 1033487285 | Cecelia Mary Magaw | Social Worker | 1701 Se Hillmoor Dr, Suite 17, Port St Lucie, FL 34952-7552 | 2011-12-02 |
| 1679862874 | Innovative Orthopedics of Florida LLC | Orthopaedic Surgery | 1701 Se Hillmoor Dr, Suite A1, Port St Lucie, FL 34952-7552 | 2011-03-29 |
| 1497056816 | Suzanne Fenton | Physical Therapist | 1701 Se Hillmoor Dr, Suite C-13, Port St Lucie, FL 34952-7552 | 2010-11-17 |
| 1063645307 | Accurate Chiropractic Rehab, Inc. | Chiropractor | 1701 Se Hillmoor Dr, Suite A1, Port St Lucie, FL 34952-7552 | 2009-09-03 |
| 1508026477 | Neil H Merkatz, M.d. Pa | Psychiatry & Neurology | 1701 Se Hillmoor Dr, Suite 17, Port St Lucie, FL 34952-7552 | 2008-06-13 |
| 1982861415 | Linda Seraphin | Counselor | 1701 Se Hillmoor Dr, Port St Lucie, FL 34952-7552 | 2008-05-21 |
| 1265628861 | Allan Birnbaum Do Pa | Internal Medicine | 1701 Se Hillmoor Dr, Suite 5, Port St Lucie, FL 34952-7552 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811164056 | Better Living Enterprises of Port St Lucie LLC | Residential Treatment Facility, Physical Disabilities | 1734 Sw California Blvd, Port St Lucie, FL 34953-1121 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782271 | Cordell & Associates LLC | Residential Treatment Facility, Physical Disabilities | 2921 Swoop Cir, Kissimmee, FL 34741-7838 | 2020-05-27 |
| 1427688597 | Lashena Jackson | Residential Treatment Facility, Physical Disabilities | 5677 Chirping Way W, Jacksonville, FL 32222-2310 | 2020-01-17 |
| 1518478353 | Derwin T Callahan | Residential Treatment Facility, Physical Disabilities | 113 Bethune St, Lake Placid, FL 33852-5698 | 2017-10-19 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1700300092 | Martinez Group Home, LLC | Residential Treatment Facility, Physical Disabilities | 14918 Sw 15 Ln, Miami, FL 33194 | 2017-07-28 |
| 1962935452 | Sharyn Trapp | Residential Treatment Facility, Physical Disabilities | 1820 N Westmoreland Dr, Orlando, FL 32804-5738 | 2017-04-11 |
| 1942741921 | Endeavor Swallowing Solutions | Residential Treatment Facility, Physical Disabilities | 8826 Shell Island Dr, Jacksonville, FL 32216-4706 | 2017-03-10 |
| 1366993404 | Steve Ewald | Residential Treatment Facility, Physical Disabilities | 5595 Willoughby Dr, Melbourne, FL 32934-2822 | 2016-10-24 |
| 1518413921 | Las Delicias Alf #2 | Residential Treatment Facility, Physical Disabilities | 3840 Nw 184th St, Miami Gardens, FL 33055-2835 | 2016-08-27 |
| 1780137455 | Axiom | Residential Treatment Facility, Physical Disabilities | 2400 River Tree Cir, Sanford, FL 32771-8332 | 2016-07-29 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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| 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.