Organization Active NPI

Academy Adult Assisted Living Inc

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1336090760
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

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 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.

Verify at the official NPI Registry.