Lotus Assisted Living Facility Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LOTUS ASSISTED LIVING FACILITY INC

Practice address

1477 SW Goodman Ave
Port Saint Lucie, FL 34953-1418

Phone

(561) 628-0832

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Mura DarabanNPI 1720809965

Title

Manager

Phone

(561) 628-0832

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mura Daraban

  • Custodial Care Facility
  • Port Saint Lucie, FL
  • NPI 1720809965
  NPD Authorized official

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1285458976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 MANOR FOREST TRL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334368850",
            "telephone_number": "561-628-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 SW GOODMAN AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531418",
            "telephone_number": "561-628-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS ASSISTED LIVING FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "DARABAN",
        "authorized_official_first_name": "MURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-628-0832"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbie Casales Lopez, LMHC
• Joshua A Lopez, MASTERS OF SCIENCE
• Jennifer Lopp
• Brenna Lorenzo
• Lisa Lormejuste, BCBA
• Jean Claude Loubeau, RT
• Tammy Lynn Loucks
• Alicha Louine
• Jean Daniel Louis
• Vanessa L Louis

• Custodial Care Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Custodial Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.