Star Angels Adult Family Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6906565 Issued in FL

Legal business name

STAR ANGELS ADULT FAMILY CARE HOME

Practice address

415 - SW Sadwick Ave.
Port Saint Lucie, FL 34953

Phone

(772) 233-2331

NPI assigned

May 31, 2013

Organization subpart

No

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

Authorized official

Name

Rita Franklin Weir, CNA

Title

Administrator

Phone

(772) 233-2331

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1447697347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SW SADWICK AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-233-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 - SW SADWICK AVE.",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "telephone_number": "772-233-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ANGELS ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-233-2331",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6906565",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "6906565",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "6906565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint 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 May 31, 2013; 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.