Port St Lucie Nursing Llc

LBN: Port St Lucie Nursing Llc
Port St Lucie Nursing Llc is an health care organization with primary practice located at 1655 Se Walton Rd , Port St Lucie FL 34952-7657. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Port St Lucie Nursing Llc can be contacted via phone (772) 337-1333, or through Sharpless, Victoria via phone (352) 874-6007.

Contact Information

Primary practice address
1655 Se Walton Rd Port St Lucie FL 34952-7657
Phone: (772) 337-1333
Fax: (772) 337-6485
Website:
Map and Directions
Authorized official contact:
Name: Sharpless, Victoria
Phone: (352) 874-6007

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1043887631
LBN Legal business name Port St Lucie Nursing Llc
DBA Doing business as
Authorized official Sharpless, Victoria
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2021
Last updated Jun 10th, 2021 - about 3 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 1043887631 NPPES
Florida MEDICAID 261637-00

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