NPIMap

Organization Active NPI

Tiffany Hall Nursing & Rehab Center

  • Skilled Nursing Facility
  • Port St Lucie, FL
National Provider Identifier
1215074752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF15590961 Issued in FL
Legal business name
TIFFANY HALL NURSING & REHAB CENTER
Practice address
1800 SE Hillmoor Dr
Port St Lucie, FL 34952-7542
Phone
(772) 807-6000
Fax
(772) 337-1261
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debbi Rees
Title
Bussiness Office Manager
Phone
(772) 807-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF15590961 FL Primary

Addresses

Primary practice location

1800 SE Hillmoor Dr
Port St Lucie, FL 34952-7542

Mailing address

1800 SE Hillmoor Dr
Port St Lucie, FL 34952-7542
Phone (772) 807-6000

National Provider Directory

National Provider Directory
Tax ID family
Sovereign Healthcare of Port St Lucie LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215074752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527542",
            "telephone_number": "772-807-6000",
            "fax_number": "772-337-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527542",
            "telephone_number": "772-807-6000",
            "fax_number": "772-337-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY HALL NURSING & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "BUSSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "772-807-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF15590961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.