Port St Lucie Retirement Investors LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10035 Issued in FL

Legal business name

PORT ST LUCIE RETIREMENT INVESTORS LLC

Practice address

3710 SE Jennings Rd
Port St Lucie, FL 34952-7772

Phone

(772) 337-4330

Fax

(772) 398-8689

NPI assigned

Nov 29, 2007

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Lynn Kalck

Title

General Manager

Phone

(772) 337-4330

Specialties & licenses 1

Addresses

Other names 1

• HarborPlace at Port St Lucie Other name

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1831371129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 SE JENNINGS RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527772",
            "telephone_number": "772-337-4330",
            "fax_number": "772-398-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 SE JENNINGS RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527772",
            "telephone_number": "772-337-4330",
            "fax_number": "772-398-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ST LUCIE RETIREMENT INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KALCK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "772-337-4330"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborPlace at Port St Lucie",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Felicia Porter
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• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St 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 29, 2007; 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.