Merciful Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERCIFUL ASSISTED LIVING

Practice address

4112 SW Tumble St
Port Saint Lucie, FL 34953-3145

Phone

(248) 495-7064

NPI assigned

May 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kim Bruce, M.S.

Title

Administrator

Phone

(248) 495-7064

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1811635758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 SW TUMBLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533145",
            "telephone_number": "248-495-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SW TUMBLE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533145",
            "telephone_number": "248-495-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCIFUL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-495-7064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimb@mercifulalf.com",
            "affiliation": "N",
            "endpointDescription": "kimb@mercifulalf.com",
            "address_1": "4112 SW Tumble St",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349533145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimb@mercifulalf.com",
            "affiliation": "N",
            "address_1": "4112 SW Tumble St",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349533145",
            "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 May 20, 2022; 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.