Organization Active NPI

Loving Care of the Treasure Coast

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1356726616
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12683 Issued in FL
Legal business name
LOVING CARE OF THE TREASURE COAST
Practice address
2102 SW Larchmont LN
Port Saint Lucie, FL 34984-4321
Phone
(772) 207-7136
Fax
(772) 207-7148
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mrs. Annmarie Lewis Coleman
Title
Administrator
Phone
(772) 240-9850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X AL12683 FL
Assisted Living Facility 310400000X AL12683 FL Primary

Addresses

Primary practice location

2102 SW Larchmont LN
Port Saint Lucie, FL 34984-4321

Mailing address

2102 SW Larchmont LN
Port Saint Lucie, FL 34984-4321
Phone (772) 207-7136

Other identifiers 1

IdentifierTypeStateIssuer
AL12683MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2200560Loving Care of the Treasure Coast LLC2102 NW Larchmont LN, Port Saint Lucie, FL 34984Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1356726616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SW LARCHMONT LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844321",
            "telephone_number": "772-207-7136",
            "fax_number": "772-207-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 SW LARCHMONT LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844321",
            "telephone_number": "772-207-7136",
            "fax_number": "772-207-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE OF THE TREASURE COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS COLEMAN",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-240-9850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "AL12683",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL12683",
            "state": "FL"
        }
    ],
    "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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.