FOUNDATIONS WELLNESS CENTER LLC
NPI 1194188656
Substance Abuse Rehabilitation Facility in Port St Lucie, FL

Active since April 01, 2016CLIA 10D2113522 · Waiver
160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL 34986(772) 812-6852 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 18, 2016, Apr 1, 2016 (3 updates tracked since 2016).

About Foundations Wellness Center Llc NPPES

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

FOUNDATIONS WELLNESS CENTER LLC (NPI 1194188656) is a healthcare organization registered as a substance abuse rehabilitation facility in Port St Lucie, Florida and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Travis Thames, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194188656
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFOUNDATIONS WELLNESS CENTER LLC
Location Address160 NW CENTRAL PARK PLZ STE 110Port St Lucie, FL 34986-1825
Mailing Address160 Nw Central Park Plz Ste 110Port St Lucie, FL 34986-1825 · (772) 812-6852
Organization SubpartNo
Authorized OfficialTravis ThamesCeo · (772) 361-6778
Enumeration DateApril 1, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1194188656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in FL · 5601
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
160 NW CENTRAL PARK PLZ STE 110, Port St Lucie, FL 34986

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 10D2113522

Foundations Wellness Center LLC · Port Saint Lucie, FL
Active · expires May 23, 2028
CLIA Number10D2113522
Laboratory TypeOutpatient Sud Treatment
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorLisa M. Flynn
Laboratory Phone(772) 212-9858
Laboratory LocationFoundations Wellness Center LLC160 NW Central Park Plaza Ste 110, Port Saint Lucie, FL 34986
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
160 NW CENTRAL PARK PLZ STE 110
PORT ST LUCIE, FL 34986

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 Foundations Wellness Center LLC's NPI number?

The NPI number for Foundations Wellness Center LLC is 1194188656. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Foundations Wellness Center LLC located?

Foundations Wellness Center LLC is located at 160 NW Central Park Plz Ste 110, Port St Lucie, FL 34986. The listed phone number is (772) 812-6852.

What is Foundations Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Foundations Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2113522) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Foundations Wellness Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Foundations Wellness Center 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 Foundations Wellness Center LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.