NPIMap

Organization Active NPI

Meadow Care Assisted Living Facility

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1023489044
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12739 Issued in FL
Legal business name
MEADOW CARE ASSISTED LIVING FACILITY
Practice address
686 SW Lucero Dr
Port Saint Lucie, FL 34983-1894
Phone
(772) 237-5253
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Althea C Wilmot, MSN, RN
Title
Administrator
Phone
(561) 707-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12739 FL Primary

Addresses

Primary practice location

686 SW Lucero Dr
Port Saint Lucie, FL 34983-1894

Mailing address

686 SW Lucero Dr
Port Saint Lucie, FL 34983-1894
Phone (772) 237-5253

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1023489044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 SW LUCERO DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831894",
            "telephone_number": "772-237-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 SW LUCERO DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831894",
            "telephone_number": "772-237-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW CARE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-707-0133",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.