The Arc of St. Lucie County, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

8587 Issued in FL

Legal business name

THE ARC OF ST. LUCIE COUNTY, INC.

Practice address

705 Kitterman Rd
Fort Pierce, FL 34952-9018

Phone

(772) 466-7957

Fax

(772) 466-7957

NPI assigned

Oct 3, 2005

Last updated

Aug 22, 2020By 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

Cheryl L. King

Title

Executive Director

Phone

(772) 468-7879

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Arc of St Lucie County Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Arc of St. Lucie County, Inc

  • Developmentally Disabled Services Day Training Agency
  • Fort Pierce, FL
  • NPI 1174629638
  NPD tax ID
• The Arc of St. Lucie County, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Fort Pierce, FL
  • NPI 1356441760
  NPD tax ID

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851388185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349541016",
            "telephone_number": "772-468-7879",
            "fax_number": "772-465-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 KITTERMAN RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349529018",
            "telephone_number": "772-466-7957",
            "fax_number": "772-466-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF ST. LUCIE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-468-7879"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "8587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "S.A.M.H. CONTRACT",
            "identifier": "ZH238",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Ray Tesson, M.D.
• Sarah Lynn Testa, ARNP
• Kathleen Marie Thaxter, PA-C
• The Arc of St. Lucie County, Inc
• The Arc of St. Lucie County, Inc.
• The Chateau at Lawnwood, Inc.
• The Children ABA Center LLC
• The Cottage Day Spa (Massages by Marcelina)
• The Daniel M Foundation Inc (Camp Holiday)
• The Daniel M. Foundation, Inc. (Camp Holiday Children's Respite Center)

• Mental Illness Community Based Residential Treatment Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.