Organization Active NPI

Loving Care of the Treasure Coast II, LLC

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1083100440
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
13156 Issued in FL
Legal business name
LOVING CARE OF THE TREASURE COAST II, LLC
Practice address
1816 SW Brisbane St
Port St Lucie, FL 34984-3507
Phone
(772) 353-5263
Fax
(772) 353-5263
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Ms. Annmarie Coleman
Title
Owner/Administrator
Phone
(772) 240-9850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 13156 FL Primary

Addresses

Primary practice location

1816 SW Brisbane St
Port St Lucie, FL 34984-3507

Mailing address

1816 SW Brisbane St
Port St Lucie, FL 34984-3507
Phone (772) 353-5263

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1083100440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 SW BRISBANE ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843507",
            "telephone_number": "772-353-5263",
            "fax_number": "772-353-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 SW BRISBANE ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843507",
            "telephone_number": "772-353-5263",
            "fax_number": "772-353-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE OF THE TREASURE COAST II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-240-9850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "13156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.