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JADE RESIDENCE GROUP HOME INC
NPI 1477426161
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port Saint Lucie, FL

Active since September 29, 2025
6790 NW MONOCO CT, PORT SAINT LUCIE, FL 34983(772) 873-8866(772) 873-8866 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade Residence Group Home Inc NPPES

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

JADE RESIDENCE GROUP HOME INC (NPI 1477426161) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Port Saint Lucie, Florida and active in the NPI registry since September 2025. The organization lists Mable Wallace, Director, as its authorized official.

NPPES Registry Identity

NPI1477426161
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameJADE RESIDENCE GROUP HOME INC
Location Address6790 NW MONOCO CTPort Saint Lucie, FL 34983-5342
Mailing Address6790 Nw Monoco CtPort Saint Lucie, FL 34983-5342 · (772) 873-8866 · Fax (772) 873-8866
Phone(772) 873-8866
Fax(772) 873-8866
Organization SubpartNo
Authorized OfficialMable WallaceDirector · (772) 873-8866
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 28, 2025
✔ NPI 1477426161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
6790 NW MONOCO CT, Port Saint Lucie, FL 34983
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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 Jade Residence Group Home Inc's NPI number?

The NPI number for Jade Residence Group Home Inc is 1477426161. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Jade Residence Group Home Inc located?

Jade Residence Group Home Inc is located at 6790 NW Monoco Ct, Port Saint Lucie, FL 34983. The listed phone number is (772) 873-8866.

What is Jade Residence Group Home Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jade Residence Group Home Inc was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.