Springfield Gardens Group Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRINGFIELD GARDENS GROUP HOME

Practice address

443 SW Homeland Rd
Port St Lucie, FL 34953-6208

Phone

(772) 418-1588

Fax

(772) 871-9005

NPI assigned

Mar 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Gillian Dyce

Title

Owner

Phone

(772) 418-1588

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1427517762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 SW RAY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832950",
            "telephone_number": "772-418-1588",
            "fax_number": "772-871-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SW HOMELAND RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536208",
            "telephone_number": "772-418-1588",
            "fax_number": "772-871-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD GARDENS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DYCE",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-418-1588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth C Sprechman, D.D.S.
• Spring Companion Services LLC.
• Spring of Living Water Counseling, LLC
• Springfield Gardens Assisted Living
• Springfield Gardens Assisted Living
• Rachel S Squier, D.M.D.
• Liza Squitieri, RD/LDN
• Varshini Sridhar, M.D.
• St Aubyn Senior Services Inc (Circle of Care (The))
• Majella St Brice, REGISTERED NURSE

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.