Ellie'S Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELLIE'S ASSISTED LIVING

Practice address

1840 SW Janette Ave
Port St Lucie, FL 34953-1001

Phone

(954) 604-5418

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Ellonia Ebanks

Title

Ceo

Phone

(954) 604-5418

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1699478768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SW JANETTE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SW JANETTE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531001",
            "telephone_number": "954-604-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "ELLONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-604-5418"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Port St Lucie, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.