Active NPI
Edouard St Hilaire
- Adult Care Home Facility
- Port St Lucie, FL
National Provider Identifier
1750833968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 6906864
- Practice address
- 298 SW Carter Ave
Port St Lucie, FL 34983-3064 - Phone
- (772) 301-1132
- NPI assigned
- Nov 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 6906864 | FL | Primary |
Addresses
Primary practice location
298 SW Carter Ave
Port St Lucie, FL 34983-3064
Mailing address
298 SW Carter Ave
Port St Lucie, FL 34983-3064
Phone (772) 301-1132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018422200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906864 | FL | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1750833968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 SW CARTER AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833064",
"telephone_number": "772-301-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 SW CARTER AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833064",
"telephone_number": "772-301-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST HILAIRE",
"first_name": "EDOUARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "FL",
"license": "6906864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018422200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Rachel S Squier, D.M.D.
- Liza Squitieri, RD/LDN
- Varshini Sridhar, M.D.
- St Aubyn Senior Services Inc (Circle of Care (The))
- Majella St Brice, REGISTERED NURSE
- Ericka St Louis
- St Lucie Counseling and Clinical Hypnosis, LLC
- St Lucie County Fire District
- St Lucie County School Board
- St Lucie County School Board
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.