Active NPI
Life Care Centers of America, Inc.
Doing business as Life Care Center of Port St. Lucie
- Skilled Nursing Facility
- Port St Lucie, FL
National Provider Identifier
1497771836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LIFE CARE CENTERS OF AMERICA, INC.
- Doing business as
- Life Care Center of Port St. Lucie
- Practice address
- 3720 SE Jennings Rd
Port St Lucie, FL 34952-7701 - Phone
- (772) 398-8080
- Fax
- (772) 398-9365
- NPI assigned
- Jul 15, 2006
- Last updated
- Sep 15, 2021
- 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
- Cindy S Cross
- Title
- Assistant Secretary
- Phone
- (423) 473-5867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | FL | Primary |
Addresses
Primary practice location
3720 SE Jennings Rd
Port St Lucie, FL 34952-7701
Mailing address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751
Other names 1
- Life Care Center of Port St. Lucie
National Provider Directory
National Provider Directory- Tax ID family
- Life Care Center of Port St Lucie
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Life Care Center of Port St. Lucie
- Skilled Nursing Facility
- Port St Lucie, FL
- NPI 1104361138
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Life Care Center of Cleveland
- Skilled Nursing Facility
- Cleveland, TN
- NPI 1083656615
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1497771836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 KEITH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373123713",
"telephone_number": "423-473-5751",
"fax_number": "423-339-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 SE JENNINGS RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527701",
"telephone_number": "772-398-8080",
"fax_number": "772-398-9365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "423-473-5867"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Care Center of Port St. Lucie",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.