The Perfect Place Alf 3

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12722 Issued in FL

Legal business name

THE PERFECT PLACE ALF 3

Practice address

1517 SW Bellevue Ave
Port St Lucie, FL 34953-1102

Phone

(786) 307-6994

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Iran Vejerano

Title

Owner

Phone

(786) 307-6994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1679941777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 SW BELLEVUE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 SW BELLEVUE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531102",
            "telephone_number": "786-307-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERFECT PLACE ALF 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "VEJERANO",
        "authorized_official_first_name": "IRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-307-6994"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St 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 Sep 4, 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.