MFP Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MFP OPCO LLC

Doing business as

The Manor of Fort Pierce

Practice address

4201 S 25TH St
Fort Pierce, FL 34981-5004

Phone

(772) 444-6406

NPI assigned

Mar 8, 2024

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffany Rink

Title

Administrator

Phone

(772) 444-6406

Specialties & licenses 1

Addresses

Other names 1

• The Manor of Fort Pierce Doing business as

Locations

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1609634195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815004",
            "telephone_number": "772-444-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFP OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "RINK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-444-6406"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor of Fort Pierce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.