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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL9258
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678899896 | Medicaid | FL | |
| 142093300 | Medicaid | FL | |
| 678899898 | Medicaid | FL |
Other names 1
- Quality Care 2
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Podiatrist
- Atlantis, FL
- NPI 1417005281
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
- Ava Carla Pupuhi
- Karen Petula Purkiss, PHARMD
- Emily Helene Putney, D.O.
- Bernard S Putter, MD
- Jennifer M Qadir, PA-C
- Quality Home Health
- Quality Nurse Registry LLC (Enhance Home Care Services Inc.)
- Quality Performance Rehabilitation Inc.
- Quality Performance Rehabilitation, Inc
- Quality Performance Rehabilitation, Inc.
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.