Organization Active NPI

Personal Touch Family Home

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1184010803
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
12647 Issued in FL
Legal business name
PERSONAL TOUCH FAMILY HOME
Practice address
4702 NW Ever Rd
Port Saint Lucie, FL 34983-1314
Phone
(772) 207-7103
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Angela McEwan
Title
Owner
Phone
(954) 993-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 12647 FL Primary

Addresses

Primary practice location

4702 NW Ever Rd
Port Saint Lucie, FL 34983-1314

Mailing address

4702 NW Ever Rd
Port Saint Lucie, FL 34983
Phone (772) 207-7103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1184010803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 NW EVER RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-207-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 NW EVER RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831314",
            "telephone_number": "772-207-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL TOUCH FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "MCEWAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-7002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12647",
            "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 Apr 9, 2015; 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.