COUNCIL ON AGING OF ST. LUCIE INC.


Address: 2501 Sw Bayshore Blvd, Port Saint Lucie, FL 34984
Phone: 7724655220

COUNCIL ON AGING OF ST. LUCIE INC. (NPI# 1770884801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770884801
Entity Type Organization
Organization Name COUNCIL ON AGING OF ST. LUCIE INC.
Practice Address 2501 Sw Bayshore Blvd
Port Saint Lucie
FL 34984
Practice Telephone 7724655220
Mailing Telephone 7724655220
Enumeration Date 2010-11-05
Last Update Date 2010-11-05
Authorized Official Name EVE D JOSEPHS (ADMINISTRATOR)
Authorized Official Telephone 7723368608
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 376J00000X Homemaker 5047 FL Nursing Service Related Providers
N 385H00000X Respite Care 8644 FL Respite Care Facility
Y 385H00000X Respite Care 353 FL Respite Care Facility

Office Location

Street Address 2501 SW BAYSHORE BLVD
City PORT SAINT LUCIE
State FL
Zip Code 34984

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NPI Name Taxonomy Address Enumeration
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1205353091 Rachelle Renae Tetreault Acupuncturist 451 S.e. Thanksgiiving Avenue, Port St. Lucie, FL 34984 2017-08-23
1598141913 Unity Recovery Center, Inc Substance Abuse Rehabilitation Facility 710 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 2015-08-07
1518201136 Kerline Dimanche Physical Therapy Assistant 461 Se Lancaster Aveune, Port Saint Lucie, FL 34984 2012-11-20
1063776979 Unity Recovery Center, Inc Substance Abuse Rehabilitation Facility 208 Sw Port St Lucie Blvd, Port St Lucie, FL 34984 2012-06-26
1851655849 Unity Recovery Center, Inc Substance Abuse Rehabilitation Facility 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 2012-06-25
1003179003 Judith Wray Pharmacist 281 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34984 2012-06-25
1285925446 Cindy Leahy Specialist 2181 Sw Bayshore Blvd, Port St Lucie, FL 34984 2011-04-22
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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NPI Name Taxonomy Address Enumeration
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1659994499 All Around Quality Care Corporation Respite Care 10935 Whitecap Dr, Riverview, FL 33579-7177 2020-05-27
1366065443 Positive Health and Wellness Respite Care 214 Brazilian Ave Ste 200l, Palm Beach, FL 33480-4676 2020-05-22
1851914493 Simmons Care Services Respite Care 67 Azalea Trl, Havana, FL 32333-5135 2020-05-18
1427683226 Abuelo Feliz Home 2 LLC Respite Care 4535 W Jean St, Tampa, FL 33614-3610 2020-03-12
1225660038 Angels With Care LLC Respite Care 206 Walker Ave Sw, Live Oak, FL 32064-2142 2020-02-10
1750913760 2 God B Thy Glory 4 Healing Angels Respite Care 5553 #1 Springhill Dr, Orlando, FL 32808 2020-02-07
1487211645 Adl Familycare Services Inc. Respite Care 19063 Sw 135th Ave, Miami, FL 33177-7170 2019-05-23
1710449236 Misty Terrell Brown Richardson Respite Care 2786 Trilby Ave, North Port, FL 34286-4985 2019-04-03
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Competitor

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City PORT SAINT LUCIE
Zip Code 34984

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Dataset Information

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.

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