PSL Rehabilitation and Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1452096 Issued in FL

Legal business name

PSL REHABILITATION AND HEALTHCARE LLC

Practice address

7300 Oleander Ave
Port St Lucie, FL 34952

Phone

(772) 466-4100

Fax

(772) 466-4135

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Griggs

Title

VP of Reimbursement

Phone

(305) 770-6144

Specialties & licenses 1

Addresses

Other names 1

• Port St. Lucie Rehabilitation and Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105410

Legal name

PSL REHABILITATION AND HEALTHCARE LLC

Doing business as

PORT ST. LUCIE REHABILITATION AND HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 19, 1982

Last certification

Sep 19, 2024

Beds

180

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Sep 30, 2016 in FL

Enrollment address

7300 Oleander Ave
Port St Lucie, FL 34952-8221

Nursing home name

PORT ST LUCIE REHABILITATION AND HEALTHCARE

Listed as

Port St Lucie Rehabilitation and HealthcareCCN 105410

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 19, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

180146.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ian Boykin, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1891772596

  Adp of the SNF

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ian Boykin, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1891772596

  Nursing home

  Care Compare affiliation
• Elvis Radhames Caraballo Antonio, MD

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1609516426

  Nursing home

  Care Compare affiliation
• Chacko Nebu, M.D.

  • Internal Medicine Physician
  • Port St Lucie, FL
  • NPI 1538439559

  Nursing home

  Care Compare affiliation
• Chintan B Shah, MD

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1871782268

  Nursing home

  Care Compare affiliation
• Maureen Zelinka, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1336119718

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1104360098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 OLEANDER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528221",
            "telephone_number": "772-466-4100",
            "fax_number": "772-466-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 OLEANDER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "772-466-4100",
            "fax_number": "772-466-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSL REHABILITATION AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "305-770-6144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "1452096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port St. Lucie Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port St. Lucie Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.