NPIMap

Organization Active NPI

Ohana Adult Family Care Home, Inc.

  • Assisted Living Facility
  • Port St Lucie, FL
National Provider Identifier
1992972251
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10876 Issued in FL
Legal business name
OHANA ADULT FAMILY CARE HOME, INC.
Practice address
817 SW Sail Ter
Port St Lucie, FL 34953-2632
Phone
(772) 873-9606
Fax
(772) 873-9606
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Melanie Acevedo
Title
Administrator
Phone
(772) 626-1827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10876 FL Primary

Addresses

Primary practice location

817 SW Sail Ter
Port St Lucie, FL 34953-2632

Mailing address

817 SW Sail Ter
Port St Lucie, FL 34953-2632
Phone (772) 873-9606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1992972251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 SW SAIL TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532632",
            "telephone_number": "772-873-9606",
            "fax_number": "772-873-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 SW SAIL TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532632",
            "telephone_number": "772-873-9606",
            "fax_number": "772-873-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA ADULT FAMILY CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-626-1827"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2008; 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.