Home Sweet Home Assisted Living by C&a LLC

Key facts

NPI

1043061377

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

Legal business name

HOME SWEET HOME ASSISTED LIVING BY C&A LLC

Practice address

775 NW Bayard Ave
Port Saint Lucie, FL 34983-1071

Phone

(561) 543-8019

NPI assigned

Mar 27, 2024

Organization subpart

No

Authorized official

Name

Camille Leonie Forde Robinson

Title

Owner/Administrator

Phone

(561) 543-8019

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1043061377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 SW KAIL ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844316",
            "telephone_number": "561-543-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 NW BAYARD AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831071",
            "telephone_number": "561-543-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME ASSISTED LIVING BY C&A LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "FORDE ROBINSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "LEONIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "561-543-8019"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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