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VITALITY SPRING RESORT ALF LLC NPI 1548995962


NPI Information

NPI: 1548995962
Provider Name: VITALITY SPRING RESORT ALF LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
121 SW OAKRIDGE DR
PORT ST LUCIE, FL
ZIP 34984
Phone: (772) 207-7947
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VITALITY SPRING RESORT ALF LLC is an assisted living facility in Port St Lucie, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. VITALITY SPRING RESORT ALF LLC NPI is 1548995962. The provider is registered as an organization entity type.

The provider's business location address is:

121 SW OAKRIDGE DR
PORT ST LUCIE, FL
ZIP 34984-934
Phone: (772) 207-7947
Fax: (772) 408-0969

The provider's authorized official is Andre Jean Dorval .
The authorized official title is Owner and has the following contact phone number (772) 940-9219.

The enumeration date for this NPI number is 7/20/2022 and was last updated on 9/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareNo
2374U00000XHome Health AideNo
3310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.