Provider Type Icon

TARANTINO SENIOR LIVING COMMUNITIES LLC NPI 1902231350


NPI Information

NPI: 1902231350
Provider Name: TARANTINO SENIOR LIVING COMMUNITIES, LLC

Doing Business As: LAKE FOREST PARK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 10D2194799

Address:
2909 S 25TH ST
FORT PIERCE, FL
ZIP 34981
Phone: (772) 466-1919
Get Directions

TARANTINO SENIOR LIVING COMMUNITIES, LLC is an assisted living facility in Fort Pierce, 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. TARANTINO SENIOR LIVING COMMUNITIES, LLC NPI is 1902231350. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Forest Park.

The provider's business location address is:

2909 S 25TH ST
FORT PIERCE, FL
ZIP 34981-610
Phone: (772) 466-1919
Fax: (772) 466-1938

The provider's authorized official is Tracy Mckinnie .
The authorized official title is Executive Director and has the following contact phone number (772) 466-1919.

The CLIA number assigned to this NPI record is 10D2194799 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 1/6/2015.


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
1310400000XAssisted Living FacilityAL#9993FLORIDAYes

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.