Paradise Care Cottage

LBN: Paradise Port St Lucie, Llc
Paradise Care Cottage is an health care organization with primary practice located at 2277 Se Lennard Rd , Port St Lucie FL 34952-6889. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Paradise Port St Lucie, Llc can be contacted via phone (772) 398-8899, or through Bass, Tina Rose via phone (772) 398-8899.

Contact Information

Primary practice address
2277 Se Lennard Rd Port St Lucie FL 34952-6889
Phone: (772) 398-8899
Fax: (772) 398-3322
Website:
Map and Directions
Authorized official contact:
Name: Bass, Tina Rose
Phone: (772) 398-8899

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL8585 Florida

Profile Details

NPI number 1407023054
LBN Legal business name Paradise Port St Lucie, Llc
DBA Doing business as Paradise Care Cottage
Authorized official Bass, Tina Rose
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2008
Last updated May 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407023054 NPPES
Florida MEDICAID 679064000

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