St.Francis Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST.FRANCIS ALF, LLC

Practice address

2820 Pan American Blvd
North Port, FL 34287-1733

Phone

(941) 770-6007

Fax

(941) 770-6012

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Damaris L. De la Portilla, BS

Title

Administrator

Phone

(305) 389-2370

Specialties & licenses 1

Addresses

Other names 1

• ST.Francis ALF of North Port Doing business as

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1063115657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 PAN AMERICAN BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871733",
            "telephone_number": "941-770-6007",
            "fax_number": "941-770-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 PAN AMERICAN BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871733",
            "telephone_number": "941-770-6007",
            "fax_number": "941-770-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.FRANCIS ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "DE LA PORTILLA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-389-2370",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST.Francis ALF of North Port",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stacey Gill DO
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• Assisted Living Facility in North Port, FL
• Providers in North Port, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.