Airoso Place Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12387 Issued in FL

Legal business name

AIROSO PLACE ALF LLC

Practice address

1802 SW Airoso Blvd
Port Saint Lucie, FL 34984-3703

Phone

(954) 263-5274

Fax

(772) 249-4338

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Beneldena Chambers

Title

Administrator

Phone

(954) 263-5274

Specialties & licenses 1

Addresses

Other names 1

• NO Former legal business name

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1073946901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 SW AIROSO BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843703",
            "telephone_number": "954-263-5274",
            "fax_number": "772-249-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 SW AIROSO BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843703",
            "telephone_number": "954-263-5274",
            "fax_number": "772-249-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIROSO PLACE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "BENELDENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-263-5274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Aug 14, 2013; 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.