QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC. NPI 1720295140

NPI Information

NPI: 1720295140
Provider Name: QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC.

Doing Business As: QUALITY CARE 2

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
432 SW PRADO AVE
PORT ST LUCIE, FL
ZIP 34983
Phone: (772) 879-2501
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QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC. 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. QUALITY CARE ASSISTED LIVING OF THE TREASURE COAST INC. NPI is 1720295140. The provider is registered as an organization entity type.
The provider Is Doing Business As Quality Care 2.

The provider's business location address is:

432 SW PRADO AVE
PORT ST LUCIE, FL
ZIP 34983-750
Phone: (772) 879-2501
Fax: (772) 879-0136

The provider's authorized official is Renee Marie Derienzo .
The authorized official title is President and has the following contact phone number (772) 879-2501.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 11/5/2013.

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
1	310400000X	Assisted Living Facility		AL9258	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	142093300	MEDICAID	FLORIDA
2	678899898	MEDICAID	FLORIDA
3	678899896	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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