Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PORT ST. LUCIE OPERATIONS, LLC
NPI 1104361138
Skilled Nursing Facility in Port St Lucie, FL

Active since December 29, 2016CLIA 10D0961431 · Waiver
3720 SE JENNINGS RD, PORT ST LUCIE, FL 34952(772) 398-8080(772) 398-9365 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Dec 29, 2016 (2 updates tracked since 2016).

About Port St. Lucie Operations, Llc NPPES

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

PORT ST. LUCIE OPERATIONS, LLC (NPI 1104361138), doing business as Life Care Center Of Port St. Lucie, is a healthcare organization registered as a skilled nursing facility in Port St Lucie, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Cindy Cross, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1104361138
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePORT ST. LUCIE OPERATIONS, LLC
Location Address3720 SE JENNINGS RDPort St Lucie, FL 34952-7701
Mailing Address3001 Keith St NwCleveland, TN 37312-3713 · (423) 473-5751 · Fax (423) 339-8342
Fax(772) 398-9365
Organization SubpartNo
Authorized OfficialCindy CrossAssistant Secretary · (423) 473-5867
Enumeration DateDecember 29, 2016
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1104361138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3720 SE JENNINGS RD, Port St Lucie, FL 34952

Other Names 1

Doing Business AsLife Care Center Of Port St. Lucie

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0961431

Life Care Center Of Port St Lucie · Port Saint Lucie, FL
Active · expires Jun 6, 2027
CLIA Number10D0961431
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorOlivia Peek
Laboratory Phone(772) 398-8080
Laboratory LocationLife Care Center Of Port St Lucie3720 SE Jennings Road, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
3720 SE JENNINGS RD
PORT ST LUCIE, FL 34952
Physical Therapy Assistant
3720 SE JENNINGS RD
PORT ST LUCIE, FL 34952
Nurse Practitioner (Gerontology)
3720 SE JENNINGS RD
PORT ST LUCIE, FL 34952

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 Port St. Lucie Operations, LLC's NPI number?

The NPI number for Port St. Lucie Operations, LLC is 1104361138. It was assigned to this organization in the NPPES registry on December 29, 2016. The provider is doing business as Life Care Center of Port St. Lucie.

Where is Port St. Lucie Operations, LLC located?

Port St. Lucie Operations, LLC is located at 3720 SE Jennings Rd, Port St Lucie, FL 34952. The listed phone number is (772) 398-8080.

What is Port St. Lucie Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Port St. Lucie Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0961431) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port St. Lucie Operations, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Port St. Lucie Operations, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port St. Lucie Operations, LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.