MIZADA ASSISTANT LIVING FACILITY
NPI 1417206400
Assisted Living Facility in Port St Lucie, FL

Q: What is Mizada Inc's NPI number?

The NPI number for Mizada Inc is 1417206400. It was assigned to this organization in the NPPES registry on September 5, 2012. The provider is doing business as Mizada Assistant Living Facility.

Q: What is Mizada Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mizada Inc was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 05, 2012

3726 SW MANAK ST, PORT ST LUCIE, FL 34953(772) 336-5884 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mizada Assistant Living Facility NPPES

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

MIZADA ASSISTANT LIVING FACILITY (NPI 1417206400) is a healthcare organization registered as an assisted living facility in Port St Lucie, Florida and active in the NPI registry since September 2012. The organization lists Michelle Lightbourn, President, as its authorized official.

NPPES Registry Identity

NPI1417206400

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMIZADA INC

Location Address3726 SW MANAK STPort St Lucie, FL 34953-7705

Mailing Address3726 Sw Manak StPort St Lucie, FL 34953-7705 · (772) 336-5884

Phone(772) 336-5884

Organization SubpartNo

Authorized OfficialMichelle LightbournPresident · (772) 336-5884

Enumeration DateSeptember 5, 2012

✔ NPI 1417206400 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 · AH12155

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.

3726 SW MANAK ST, Port St Lucie, FL 34953

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Other Names 1

Doing Business AsMizada Assistant Living Facility

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 Mizada Inc's NPI number?

The NPI number for Mizada Inc is 1417206400. It was assigned to this organization in the NPPES registry on September 5, 2012. The provider is doing business as Mizada Assistant Living Facility.

Where is Mizada Inc located?

Mizada Inc is located at 3726 SW Manak St, Port St Lucie, FL 34953. The listed phone number is (772) 336-5884.

What is Mizada 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 Mizada Inc was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.