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COUNTRY LIVING ASSISTED CARE CENTER INC
NPI 1417135682
Assisted Living Facility in Port Saint Lucie, FL

Active since February 09, 2008
1762 SW ARCH ST, PORT SAINT LUCIE, FL 34953(772) 621-8211(772) 621-8211 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Living Assisted Care Center Inc NPPES

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

COUNTRY LIVING ASSISTED CARE CENTER INC (NPI 1417135682) is a healthcare organization registered as an assisted living facility in Port Saint Lucie, Florida and active in the NPI registry since February 2008. The organization lists Carol Ann Cammarsana, Adm, as its authorized official.

NPPES Registry Identity

NPI1417135682
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY LIVING ASSISTED CARE CENTER INC
Location Address1762 SW ARCH STPort Saint Lucie, FL 34953-1558
Mailing Address1762 Sw Arch StPort Saint Lucie, FL 34953-1558 · (772) 621-8211 · Fax (772) 621-8211
Phone(772) 621-8211
Fax(772) 621-8211
Organization SubpartNo
Authorized OfficialCarol Ann CammarsanaAdm · (772) 626-1150
Enumeration DateFebruary 9, 2008
Last NPPES UpdateOctober 31, 2008
✔ NPI 1417135682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL11331
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.
1762 SW ARCH ST, Port Saint Lucie, FL 34953
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Other Identifiers 1

Other692697596FL · Medwaiver

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 Country Living Assisted Care Center Inc's NPI number?

The NPI number for Country Living Assisted Care Center Inc is 1417135682. It was assigned to this organization in the NPPES registry on February 9, 2008.

Where is Country Living Assisted Care Center Inc located?

Country Living Assisted Care Center Inc is located at 1762 SW Arch St, Port Saint Lucie, FL 34953. The listed phone number is (772) 621-8211.

What is Country Living Assisted Care Center Inc'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 Country Living Assisted Care Center Inc was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.