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BROADMOOR ALZHEIMER'S & MEMORY IMPAIRMENT CENTER OF ST LUCIE COUNTY, I
NPI 1083784011
Assisted Living Facility - Assisted Living, Mental Illness in Fort Pierce, FL

Active since November 08, 2006
200 DIXIELAND DR, FORT PIERCE, FL 34982(772) 489-6800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I NPPES

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

BROADMOOR ALZHEIMER'S & MEMORY IMPAIRMENT CENTER OF ST LUCIE COUNTY, I (NPI 1083784011) is a healthcare organization registered as an assisted living, mental illness in Fort Pierce, Florida and active in the NPI registry since November 2006. The organization lists Christopher Lundstrom, President, as its authorized official.

NPPES Registry Identity

NPI1083784011
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameBROADMOOR ALZHEIMER'S & MEMORY IMPAIRMENT CENTER OF ST LUCIE COUNTY, I
Location Address200 DIXIELAND DRFort Pierce, FL 34982-6706
Mailing Address1550 N Lawnwood CirFort Pierce, FL 34950-4972 · (772) 489-6800
Phone(772) 489-6800
Organization SubpartNo
Authorized OfficialChristopher LundstromPresident · (772) 489-6800
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083784011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
200 DIXIELAND DR, Fort Pierce, FL 34982
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Other Providers at the Same Location NPPES 2

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

BROADMOOR OPERATIONS, LLC
Assisted Living Facility
200 DIXIELAND DR
FORT PIERCE, FL 34982
St. Lucie County (772) 468-7235
SERENITY BROADMOOR LLC
Assisted Living Facility
200 DIXIELAND DR
FORT PIERCE, FL 34982
St. Lucie County (772) 468-7235

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 Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I's NPI number?

The NPI number for Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I is 1083784011. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I located?

Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I is located at 200 Dixieland Dr, Fort Pierce, FL 34982. The listed phone number is (772) 489-6800.

What is Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Broadmoor Alzheimer's & Memory Impairment Center Of St Lucie County, I was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.