Organization Active NPI

Springfield Gardens Assisted Living

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1447552765
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11322 Issued in FL
Legal business name
SPRINGFIELD GARDENS ASSISTED LIVING
Practice address
588 SW Ray Ave
Port St Lucie, FL 34983-2950
Phone
(772) 871-9039
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Mrs. Gillian A Dyce
Title
Owner/Administrator
Phone
(772) 871-9039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11322 FL Primary

Addresses

Primary practice location

588 SW Ray Ave
Port St Lucie, FL 34983-2950

Mailing address

588 SW Ray Ave
Port St Lucie, FL 34983-2950
Phone (772) 871-9039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1447552765",
    "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": "772-871-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 SW RAY AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832950",
            "telephone_number": "772-871-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD GARDENS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "DYCE",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-871-9039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11322",
            "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 18, 2010; 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.