Fort Pierce Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF10040953 Issued in FL

Legal business name

FORT PIERCE HEALTH CARE ASSOCIATES LLC

Doing business as

Fort Pierce Health Care

Practice address

611 S 13TH St
Fort Pierce, FL 34950-4054

Phone

(772) 464-5262

Fax

(772) 464-5022

NPI assigned

May 25, 2006

Last updated

Aug 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra M. Yerks

Title

Manager

Phone

(772) 464-5262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Pierce Health Care Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1730135716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S 13TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504054",
            "telephone_number": "772-464-5262",
            "fax_number": "772-464-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S 13TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504054",
            "telephone_number": "772-464-5262",
            "fax_number": "772-464-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PIERCE HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "YERKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-464-5262"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10040953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025223900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Pierce Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nila Folkes
• Kimberly Ross Foncham Bradley, ARNP
• Forever Loving Hands, Inc
• Fort Pierce Discount Pharmacy, Inc.
• Fort Pierce Family Care, Inc.
• Fort Pierce Intermediate Care Center (Fort Pierce Walk-In Medical Clinic)
• Fort Pierce Orthopaedics LLC
• Fort Pierce Vision LLC
• Tisa D Forte, RN
• Eddrekcia Foster

• Skilled Nursing Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.