Organization · Type 2 NPI

Five Star Quality Care-Fl, LLC

Assisted Living Facility · Port St. Lucie West, FL

NPI number 1861559031 Active

Practice location

501 N.w. Cashmere Boulevard
Port St. Lucie West, FL 34986

Fax (772) 344-7417

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	AL10438 (FL)
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

NPI record

NPI: 1861559031
Entity type: Organization (Type 2)
Issued: Jan 3, 2007
Last updated: Mar 27, 2019
Status: Active
Subpart: Yes of Five Star Quality Care-Fl, LLC

Other names

<unavail>
The Palms of St. Lucie West · doing business as
The Palms of St. Lucie West · doing business as

Authorized official

Katherine E Potter
Presdient & Chief Executive Officer
(617) 796-8387

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1861559031

Five Star Quality Care-Fl, LLC's National Provider Identifier is 1861559031, issued on Jan 3, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port St. Lucie West, FL. The record was last updated on Mar 27, 2019.