Individual provider Active NPI

Jean Marie Salien

  • Adult Care Home Facility
  • Port St Lucie, FL
National Provider Identifier
1366811556
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906759 Issued in FL
Practice address
6817 NW Granger Ave
Port St Lucie, FL 34983-1306
Phone
(772) 919-5121
NPI assigned
Sep 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906759 FL Primary

Addresses

Primary practice location

6817 NW Granger Ave
Port St Lucie, FL 34983-1306

Mailing address

6817 NW Granger Ave
Port St Lucie, FL 34983-1306
Phone (772) 919-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6906759FLMDAdult Care Home Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Salien Adult Family Care Home Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1366811556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 NW GRANGER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831306",
            "telephone_number": "772-919-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 NW GRANGER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831306",
            "telephone_number": "772-919-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIEN",
        "first_name": "JEAN MARIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906759",
            "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 Nov 19, 2015; 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.