NPIMap

Organization Active NPI

S-H Thirty-Five Opco - Port St. Lucie, LLC

Doing business as Atria Port Orange

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1912331240
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
S-H THIRTY-FIVE OPCO - PORT ST. LUCIE, LLC
Doing business as
Atria Port Orange
Practice address
9825 S US Highway 1
Port St Lucie, FL 34952-5626
Phone
(772) 337-0084
NPI assigned
Aug 22, 2013
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
W. Bryan Hudson
Title
S-H Thirty-Five Opco, LLC by: Atria
Phone
(502) 779-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9825 S US Highway 1
Port St Lucie, FL 34952-5626

Mailing address

300 E Market St Ste 100
Louisville, KY 40202-1968
Phone (502) 779-7663

Other names 1

  • Atria Port Orange Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atria Port Orange2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1912331240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MARKET ST STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021968",
            "telephone_number": "502-779-7663",
            "fax_number": "502-779-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525626",
            "telephone_number": "772-337-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H THIRTY-FIVE OPCO - PORT ST. LUCIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "S-H THIRTY-FIVE OPCO, LLC BY: ATRIA",
        "authorized_official_telephone_number": "502-779-4700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atria Port Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.