Quiet Waters Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

QUIET WATERS ASSISTED LIVING, LLC

Practice address

5255 NW South Lovett Cir
Port St Lucie, FL 34986-2706

Phone

(772) 353-5341

Fax

(772) 353-5034

NPI assigned

May 15, 2026

Last updated

May 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shawanna Evans

Title

Administrator

Phone

(561) 985-0089

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1053240051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 NW SOUTH LOVETT CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862706",
            "telephone_number": "772-353-5341",
            "fax_number": "772-353-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 NW SOUTH LOVETT CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862706",
            "telephone_number": "772-353-5341",
            "fax_number": "772-353-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET WATERS ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHAWANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-985-0089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.