Active NPI
Springfield Gardens Assisted Living
- Assisted Living Facility
- Port St Lucie, FL
National Provider Identifier
1447552765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL11322
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Speech Horizons, LLC
- Kenneth C Sprechman, D.D.S.
- Spring Companion Services LLC.
- Spring of Living Water Counseling, LLC
- Springfield Gardens Assisted Living
- Springfield Gardens Group Home
- Rachel S Squier, D.M.D.
- Liza Squitieri, RD/LDN
- Varshini Sridhar, M.D.
- St Aubyn Senior Services Inc (Circle of Care (The))
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.