Organization Active NPI

Palm Beach Alf LLC

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1740857903
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PALM BEACH ALF LLC
Practice address
160 SE Celestia CT
Port Saint Lucie, FL 34983-2120
Phone
(561) 909-8240
NPI assigned
Jun 7, 2021
Organization subpart
Yes
Parent organization
PALM BEACH ALF LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mrs. Ruth Jaramillo
Title
Owner
Phone
(561) 909-8240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

160 SE Celestia CT
Port Saint Lucie, FL 34983-2120

Mailing address

160 SE Celestia CT
Port Saint Lucie, FL 34983-2120
Phone (561) 909-8240

National Provider Directory

National Provider Directory
Part of
Palm Beach Alf LLC

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1740857903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SE CELESTIA CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832120",
            "telephone_number": "561-909-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SE CELESTIA CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832120",
            "telephone_number": "561-909-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ALF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM BEACH ALF LLC",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-909-8240",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Jun 7, 2021; 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.