Gasna Aladin

Individual provider Active NPI Assisted Living Facility · Port St Lucie, FL

NPI 1992310395 · NPPES record last updated Apr 13, 2022

Key facts

NPI
1992310395
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
Practice address
3425 SW Rivera St
Port St Lucie, FL 34953-3763
Phone
(516) 943-2579
Fax
(772) 877-2914
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Grace Assisted Living Facility, Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

3425 SW Rivera St
Port St Lucie, FL 34953-3763

Mailing address

3425 SW Rivera St
Port St Lucie, FL 34953-3763
Phone (516) 943-2579

Other practice location 1

39 Irving St
Valley Stream, NY 11580-1634
Phone (516) 943-2579

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Assisted Living Facility in Florida

Sources for this page

Verify at the official NPI Registry.