Organization Active NPI

Grandparents House Alf Inc

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1700357571
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRANDPARENTS HOUSE ALF INC
Practice address
3890 SW Chaffin St
Port Saint Lucie, FL 34953-5304
Phone
(786) 307-6994
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Mr. Iran Vejerano
Title
Owner
Phone
(786) 307-6994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3890 SW Chaffin St
Port Saint Lucie, FL 34953-5304

Mailing address

3890 SW Chaffin St
Port Saint Lucie, FL 34953-5304
Phone (786) 307-6994

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1700357571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 SW CHAFFIN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535304",
            "telephone_number": "786-307-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 SW CHAFFIN ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535304",
            "telephone_number": "786-307-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDPARENTS HOUSE ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.