Organization Active NPI

Quality Care Assisted Living of the Treasure Coast Inc.

Doing business as Quality Care 2

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1720295140
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9258 Issued in FL
Legal business name
QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC.
Doing business as
Quality Care 2
Practice address
432 SW Prado Ave
Port St Lucie, FL 34983-8750
Phone
(772) 879-2501
Fax
(772) 879-0136
NPI assigned
May 16, 2007
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Mrs. Renee Marie Derienzo, CAREGIVER
Title
President
Phone
(772) 879-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9258 FL Primary

Addresses

Primary practice location

432 SW Prado Ave
Port St Lucie, FL 34983-8750

Mailing address

432 SW Prado Ave
Port St Lucie, FL 34983-8750
Phone (772) 879-2501

Other identifiers 3

IdentifierTypeStateIssuer
678899896MedicaidFL
142093300MedicaidFL
678899898MedicaidFL

Other names 1

  • Quality Care 2 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1720295140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SW PRADO AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838750",
            "telephone_number": "772-879-2501",
            "fax_number": "772-879-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SW PRADO AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838750",
            "telephone_number": "772-879-2501",
            "fax_number": "772-879-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "DERIENZO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-879-2501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678899896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142093300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678899898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Care 2",
            "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 Nov 5, 2013; 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.