Organization Active NPI

Home Sweet Home of the Treasurwe Coast, Inc.

  • Assisted Living Facility
  • Fort Pierce, FL
National Provider Identifier
1851728083
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 11731 Issued in FL
Legal business name
HOME SWEET HOME OF THE TREASURWE COAST, INC.
Practice address
3201 Avenue Q
Fort Pierce, FL 34947
Phone
(772) 242-1648
Fax
(772) 905-8608
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Diane F, Reynolds
Title
Owner/Administrator
Phone
(772) 359-9088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 11731 FL Primary

Addresses

Primary practice location

3201 Avenue Q
Fort Pierce, FL 34947

Mailing address

PO Box 880956
Port St Lucie, FL 34988-0956
Phone (772) 359-9088

National Provider Directory

National Provider Directory

Locations

3201 Ave Q
Fort Pierce, FL 34947
Phone (772) 242-1648

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1851728083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880956",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349880956",
            "telephone_number": "772-359-9088",
            "fax_number": "772-905-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 AVENUE Q",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34947",
            "telephone_number": "772-242-1648",
            "fax_number": "772-905-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME OF THE TREASURWE COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "F,",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "772-359-9088"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL 11731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.