SUPERIOR LIVING 'LLC' (NPI# 1922535137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922535137 |
| Entity Type | Organization |
| Organization Name | SUPERIOR LIVING 'LLC' |
| Practice Address |
496 Southeast Verada Port St Lucie FL 34983 |
| Mailing Address |
874 Sw Duncan Terr. Psl FL 34953 |
| Practice Telephone | 7729406771 |
| Mailing Telephone | 7729406771 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | LETITIA SHANTEL KNOWLES (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7729406771 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RN | RN9395717 | 01 |
| Street Address |
496 SOUTHEAST VERADA |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34983 |
| 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 |
| 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 |
| 1679810329 | John M Fitzgerald | Pharmacist | 5473 Ne St James Dr, Port St Lucie, FL 34983 | 2013-01-14 |
| 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 |
|---|---|---|---|---|
| 1811597404 | Huguette Mortimer Dupont | Assisted Living Facility | 1596 Sw Paar Dr, Port St Lucie, FL 34953-6159 | 2020-11-01 |
| 1952947228 | Savorah Alf II | Assisted Living Facility | 2369 Sw Fern Cir, Port St Lucie, FL 34953-2951 | 2019-11-21 |
| 1598224669 | Blessings Assisted Living | Assisted Living Facility | 2449 Sw Humber Ct, Port St Lucie, FL 34953-2133 | 2019-03-18 |
| 1427517762 | Springfield Gardens Group Home | Assisted Living Facility | 443 Sw Homeland Rd, Port St Lucie, FL 34953-6208 | 2019-03-17 |
| 1285104463 | Caring Assisted Living, LLC | Assisted Living Facility | 2588 Sw Grotto Cir, Port St Lucie, FL 34953-2926 | 2018-11-29 |
| 1760967590 | Angel of Light Assisted Living Facility, LLC | Assisted Living Facility | 613 Sw Homeland Rd, Port St Lucie, FL 34953-6263 | 2018-09-27 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1033696232 | New Dimension Family Care Inc. | Assisted Living Facility | 849 Sw Hamberland Ave, Port St Lucie, FL 34953-5629 | 2018-07-20 |
| 1659857001 | Heavenly Adult Care LLC | Assisted Living Facility | 3934 Sw Kakopo St, Port St Lucie, FL 34953-3631 | 2018-07-18 |
| 1336635796 | Avalon Family Resort Assisted Living | Assisted Living Facility | 160 Sw Saratoga Ave, Port St Lucie, FL 34953-5977 | 2018-07-09 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34983 |
Please comment or provide details below to improve the information on SUPERIOR LIVING '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.