Organization Active NPI

Living Tree Community Care,LLC

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1366823700
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVING TREE COMMUNITY CARE,LLC
Practice address
500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237
Phone
(561) 236-7799
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Yasmine Dominique-Merveus
Title
Manager
Phone
(561) 236-7799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237

Mailing address

500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1366823700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016237",
            "telephone_number": "561-236-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING TREE COMMUNITY CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE-MERVEUS",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-236-7799"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

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