Organization Active NPI

Home Sweet Home Assisted Living by C&a LLC

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1043061377
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 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
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Camille Leonie Forde Robinson
Title
Owner/Administrator
Phone
(561) 543-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

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

Mailing address

2165 SW Kail St
Port Saint Lucie, FL 34984-4316
Phone (561) 543-8019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "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": []
}

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 Mar 27, 2024; 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.