Wilnique Peaceful Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906735 Issued in FL

Legal business name

WILNIQUE PEACEFUL ADULT FAMILY CARE HOME

Practice address

4435 SW Masefield St
Port St Lucie, FL 34953-6867

Phone

(954) 934-5852

NPI assigned

Feb 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Wilnique Turenne

Title

Administrator

Phone

(954) 934-5852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1467843110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SW MASEFIELD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536867",
            "telephone_number": "954-934-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SW MASEFIELD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536867",
            "telephone_number": "954-934-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILNIQUE PEACEFUL ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "TURENNE",
        "authorized_official_first_name": "WILNIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-934-5852",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Williams
• Natasha Williamson Jones, ARNP
• Alessandra Williamson, ARNP
• Masiai Willis-Jones, APRN FNP-C
• Charnelle Willis
• Ann L Wilson, DDS
• Gavin Keith Wilson, PA
• Ishalon Shanquell Siedah Wilson, LMHC, LPC
• James E Wilson, PA-C
• Jerisha Wilson, RCSWI, LMSW

• Adult Care Home Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.