Active NPI
Devine Senior Care, Inc.
- Assisted Living Facility
- Fort Pierce, FL
National Provider Identifier
1891093787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 5658
- Legal business name
- DEVINE SENIOR CARE, INC.
- Practice address
- 4707 Oleander Ave
Ft. Pierce, FL 34982 - Phone
- (772) 467-0668
- NPI assigned
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mavis A McFarlane, ADM
- Title
- Owner/Administrator
- Phone
- (772) 465-9389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 5658 | FL | Primary |
Addresses
Primary practice location
4707 Oleander Ave
Ft. Pierce, FL 34982
Mailing address
4707 Oleander Ave
Ft. Pierce, FL 34982
Phone (772) 467-0668
National Provider Directory
National Provider DirectoryLocations
4707 Oleander Ave
Fort Pierce, FL 34982
Phone (631) 827-7415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1891093787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 OLEANDER AVE",
"city": "FT. PIERCE",
"state": "FL",
"postal_code": "34982",
"telephone_number": "772-467-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 OLEANDER AVE",
"city": "FT. PIERCE",
"state": "FL",
"postal_code": "34982",
"telephone_number": "772-467-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVINE SENIOR CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "MCFARLANE",
"authorized_official_first_name": "MAVIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "772-465-9389",
"authorized_official_credential": "ADM"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "5658",
"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 Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.