Active NPI
Academy Adult Assisted Living Inc
- Assisted Living Facility
- Port St Lucie, FL
National Provider Identifier
1336090760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ACADEMY ADULT ASSISTED LIVING INC
- Practice address
- 1958 SW Dorado LN
Port St Lucie, FL 34953-1825 - Phone
- (772) 530-5922
- NPI assigned
- Feb 3, 2026
- Last updated
- Feb 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marie Sully
- Title
- Administrator
- Phone
- (772) 530-5922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
1958 SW Dorado LN
Port St Lucie, FL 34953-1825
Mailing address
1958 SW Dorado LN
Port St Lucie, FL 34953-1825
Phone (772) 530-5922
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1336090760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1958 SW DORADO LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531825",
"telephone_number": "772-530-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1958 SW DORADO LN",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349531825",
"telephone_number": "772-530-5922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADEMY ADULT ASSISTED LIVING INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "SULLY",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "772-530-5922",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Accentcare Hospice & Palliative Care of the Treasure Coast, LLC
- Access Therapies LLC
- Accident Recovery Centers
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- Accredited Medical Providers LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.