Organization Active NPI

Lucienne Residential Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lake Worth, FL
National Provider Identifier
1811476534
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LUCIENNE RESIDENTIAL SERVICES, INC.
Practice address
9179 Fountain Rd
Lake Worth, FL 33467-4735
Phone
(508) 846-2747
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Mr. Dieufene Sylvain
Title
President
Phone
(508) 846-2747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

9179 Fountain Rd
Lake Worth, FL 33467-4735

Mailing address

4882 SW 159TH Ave
Miramar, FL 33027-5645

Other names 1

  • LUCIENNE RESIDENTIAL SERVICES, INC. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1811476534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4882 SW 159TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 FOUNTAIN RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674735",
            "telephone_number": "508-846-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIENNE RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "SYLVAIN",
        "authorized_official_first_name": "DIEUFENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-846-2747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCIENNE RESIDENTIAL SERVICES, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.