1. Home
  2. Directory
  3. Florida
  4. Port St Lucie
  5. Custodial Care Facility
  6. NPI Profile

MR. CLIVE PHILLIPS
NPI 1528616547
Custodial Care Facility - Adult Care Home in Port St Lucie, FL

Active since September 03, 2019
6755 NW MONOCO CT, PORT ST LUCIE, FL 34983(772) 237-2496(772) 237-2496 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Clive Phillips NPPES

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

MR. CLIVE PHILLIPS (NPI 1528616547) is an individual adult care home provider in Port St Lucie, Florida, licensed in Florida (6906987) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1528616547
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMR. CLIVE PHILLIPS
Location Address6755 NW MONOCO CTPort St Lucie, FL 34983-5339
Mailing Address6755 Nw Monoco CtPort St Lucie, FL 34983-5339 · (772) 237-2496 · Fax (772) 237-2496
Phone(772) 237-2496
Fax(772) 237-2496
Sole ProprietorYes
Enumeration DateSeptember 3, 2019
✔ NPI 1528616547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in FL · 6906987
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
6755 NW MONOCO CT, Port St Lucie, FL 34983
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

GRACE SENIOR LIVING, LLC
Day Training, Developmentally Disabled Services
6755 NW MONOCO CT
PORT ST LUCIE, FL 34983
St. Lucie County (772) 812-8749
JOYOUS OCASSION LLC
Custodial Care Facility (Adult Care Home)
6755 NW MONOCO CT
PORT ST LUCIE, FL 34983
St. Lucie County (772) 237-2496

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 Clive Phillips's NPI number?

The NPI number for Clive Phillips is 1528616547. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Clive Phillips located?

Clive Phillips practices at 6755 NW Monoco Ct, Port St Lucie, FL 34983. The listed phone number is (772) 237-2496.

What is Clive Phillips's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Clive Phillips was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.