K and L Loving Care of Port Saint Lucie Assisted Living Facility, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

K AND L LOVING CARE OF PORT SAINT LUCIE ASSISTED LIVING FACILITY, INC

Practice address

3871 SW Ramspeck St
Port Saint Lucie, FL 34953-5381

Phone

(561) 628-8075

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lotoya Hibbert, PHARMD

Title

Administrator

Phone

(561) 628-8075

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1790320984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 ASPEN LEAF DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361713",
            "telephone_number": "561-628-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 SW RAMSPECK ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535381",
            "telephone_number": "561-628-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND L LOVING CARE OF PORT SAINT LUCIE ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "LOTOYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-628-8075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Deskttop",
            "affiliation": "N",
            "address_1": "3871 SW Ramspeck St",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349535381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.