PK Associates Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11349 Issued in FL

Legal business name

PK ASSOCIATES INC.

Practice address

5902 NW Wolverine Rd
Port St Lucie, FL 34986-3650

Phone

(772) 873-0325

Fax

(772) 336-9505

NPI assigned

Sep 27, 2010

Organization subpart

Yes

Parent organization

PK ASSOCIATES INC.As reported in NPPES

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

Authorized official

Name

Mr. Alton Pryce

Title

President

Phone

(772) 873-0325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PERFECT KARE ALF Doing business as

Part of

PK Associates Inc

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1992014914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 NW WOLVERINE RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863650",
            "telephone_number": "772-873-0325",
            "fax_number": "772-336-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 NW WOLVERINE RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863650",
            "telephone_number": "772-873-0325",
            "fax_number": "772-336-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK ASSOCIATES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PK ASSOCIATES INC.",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "PRYCE",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-873-0325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002134600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERFECT KARE ALF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Sep 27, 2010; 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.