Merrill Gardens Port St. Lucie

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9628 Issued in FL

Legal business name

MERRILL GARDENS PORT ST. LUCIE

Practice address

9825 S US Highway 1
Port St Lucie, FL 34952-5626

Phone

(772) 337-0084

Fax

(772) 335-2662

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ashley Blair Shepherd, LPN

Title

Director of Wellness

Phone

(772) 337-0084

Specialties & licenses 1

Addresses

Tax ID family

Atria Port Orange2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S-H Thirty-Five Opco - Port St. Lucie, LLC

  dba Atria Port Orange

  • Assisted Living Facility
  • Port St Lucie, FL
  • NPI 1912331240
  NPD tax ID

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1174780563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525626",
            "telephone_number": "772-337-0084",
            "fax_number": "772-335-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525626",
            "telephone_number": "772-337-0084",
            "fax_number": "772-335-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL GARDENS PORT ST. LUCIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "DIRECTOR OF WELLNESS",
        "authorized_official_telephone_number": "772-337-0084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Mercado
• Terika Tashae Mercedes, ED.D
• Mercy Health and Wellness LLC
• Meridian Emergency Physicians, LLC
• Cloraine Merilien
• Leslie Elizabeth Merson, P.T.
• Damaris Mesa
• Lauren Messina
• Edmond Louis Metellus
• Joanise Metelus

• 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 May 22, 2008; 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.