JJ MANOR ASSISTED LIVING, LLC
NPI 1013750991
Assisted Living Facility in Port Saint Lucie, FL

Q: What is Jj Manor Assisted Living, LLC's NPI number?

The NPI number for Jj Manor Assisted Living, LLC is 1013750991. It was assigned to this organization in the NPPES registry on June 17, 2024.

Q: What is Jj Manor Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since June 17, 2024

2637 SW FAIR ISLE RD, PORT SAINT LUCIE, FL 34987(772) 446-2040 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2024, Jun 17, 2024 (2 updates tracked since 2024).

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About Jj Manor Assisted Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JJ MANOR ASSISTED LIVING, LLC (NPI 1013750991) is a healthcare organization registered as an assisted living facility in Port Saint Lucie, Florida and active in the NPI registry since June 2024. The organization lists Shannon Margaret Edwards, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013750991

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJJ MANOR ASSISTED LIVING, LLC

Location Address2637 SW FAIR ISLE RDPort Saint Lucie, FL 34987-2093

Mailing Address2637 Sw Fair Isle RdPort Saint Lucie, FL 34987-2093 · (772) 446-2040

Phone(772) 446-2040

Organization SubpartNo

Authorized OfficialShannon Margaret EdwardsAdministrator · (772) 446-2040

Enumeration DateJune 17, 2024

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1013750991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

2637 SW FAIR ISLE RD, Port Saint Lucie, FL 34987

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON MARGARET EDWARDS

Assisted Living Facility

2637 SW FAIR ISLE RD
PORT SAINT LUCIE, FL 34987

St. Lucie County (772) 446-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jj Manor Assisted Living, LLC's NPI number?

The NPI number for Jj Manor Assisted Living, LLC is 1013750991. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Jj Manor Assisted Living, LLC located?

Jj Manor Assisted Living, LLC is located at 2637 SW Fair Isle Rd, Port Saint Lucie, FL 34987. The listed phone number is (772) 446-2040.

What is Jj Manor Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jj Manor Assisted Living, LLC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.