Organization Active NPI

Cotin-Valcin, Charite Adult Family Care Home

  • Adult Care Home Facility
  • Port St Lucie, FL
National Provider Identifier
1730580648
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
6906704 Issued in FL
Legal business name
COTIN-VALCIN, CHARITE ADULT FAMILY CARE HOME
Practice address
238 NW Ferris Dr
Port St Lucie, FL 34983-1121
Phone
(772) 985-4122
Fax
(772) 777-3227
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Charite Valcin-Cotin
Title
Owner/Administrator
Phone
(772) 985-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 6906704 FL Primary

Addresses

Primary practice location

238 NW Ferris Dr
Port St Lucie, FL 34983-1121

Mailing address

238 NW Ferris Dr
Port St Lucie, FL 34983-1121
Phone (772) 985-4122

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.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1730580648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 NW FERRIS DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831121",
            "telephone_number": "772-985-4122",
            "fax_number": "772-777-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NW FERRIS DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831121",
            "telephone_number": "772-985-4122",
            "fax_number": "772-777-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTIN-VALCIN, CHARITE ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "VALCIN-COTIN",
        "authorized_official_first_name": "CHARITE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-985-4122"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2014; 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.