Hammock Grove, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAMMOCK GROVE, LLC.

Practice address

2051 SW Villanova Rd
Port St Lucie, FL 34953-1308

Phone

(617) 938-1648

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Naomi Poe

Title

Owner

Phone

(617) 938-1648

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1093544710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11582 SW VILLAGE PKWY # 1090",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872392",
            "telephone_number": "617-938-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SW VILLANOVA RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531308",
            "telephone_number": "617-938-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK GROVE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "POE",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-938-1648"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Constance Hall, APRN
• Taylor Haluck, APRN
• Angela Hamilton
• Rakia Hamilton
• Cadedra L Hamm, OTA
• Erica Hammond Rodriques
• Catherine Rose Hampe, ATC
• E. Margaret Hancock, LPN
• Jeffrey Allen Hancock
• Walleska Handal

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St 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 28, 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.