Organization Active NPI

Touch of Grace Assisted Living Facility, LLC

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1104259845
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12380 Issued in FL
Legal business name
TOUCH OF GRACE ASSISTED LIVING FACILITY, LLC
Practice address
3425 SW Rivera St
Port Saint Lucie, FL 34953-3763
Phone
(772) 340-6211
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mrs. Eclaire Cherisol
Title
Administrator/Director
Phone
(772) 905-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12380 FL Primary

Addresses

Primary practice location

3425 SW Rivera St
Port Saint Lucie, FL 34953-3763

Mailing address

3425 SW Rivera St
Port Saint Lucie, FL 34953-3763
Phone (772) 340-6211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1104259845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SW RIVERA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533763",
            "telephone_number": "772-340-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 SW RIVERA ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533763",
            "telephone_number": "772-340-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCH OF GRACE ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "CHERISOL",
        "authorized_official_first_name": "ECLAIRE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR",
        "authorized_official_telephone_number": "772-905-7536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.