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GRACE SENIOR LIVING, LLC
NPI 1629735030
Assisted Living Facility in Port St Lucie, FL

Active since November 19, 2021
221 SW YAGER PL, PORT ST LUCIE, FL 34953(772) 812-8749(772) 291-6304 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Senior Living, Llc NPPES

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

GRACE SENIOR LIVING, LLC (NPI 1629735030), doing business as Grace Manor, is a healthcare organization registered as an assisted living facility in Port St Lucie, Florida and active in the NPI registry since November 2021. The organization lists Leona James, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629735030
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACE SENIOR LIVING, LLC
Location Address221 SW YAGER PLPort St Lucie, FL 34953-5468
Mailing Address221 Sw Yager PlPort St Lucie, FL 34953-5468 · (772) 812-8749
Phone(772) 812-8749
Fax(772) 291-6304
Organization SubpartNo
Authorized OfficialLeona JamesAdministrator · (772) 812-8749
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1629735030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
221 SW YAGER PL, Port St Lucie, FL 34953
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Other Names 1

Doing Business AsGrace Manor

Other Identifiers 1

Medicaid104232400FL

Other Providers at the Same Location NPPES 3

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

GRACE SENIOR LIVING
Assisted Living Facility
221 SW YAGER PL
PORT ST LUCIE, FL 34953
St. Lucie County (772) 812-8749
ABG SUNSHINE HOMECARE,LLC
Assisted Living Facility
221 SW YAGER PL
PORT ST LUCIE, FL 34953
St. Lucie County (772) 878-6471
LEONA CLAIRE JAMES LEONA
Assisted Living Facility
221 SW YAGER PL
PORT ST LUCIE, FL 34953
St. Lucie County (772) 812-9749

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 Grace Senior Living, LLC's NPI number?

The NPI number for Grace Senior Living, LLC is 1629735030. It was assigned to this organization in the NPPES registry on November 19, 2021. The provider is doing business as Grace Manor.

Where is Grace Senior Living, LLC located?

Grace Senior Living, LLC is located at 221 SW Yager Pl, Port St Lucie, FL 34953. The listed phone number is (772) 812-8749.

What is Grace Senior Living, LLC'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 Grace Senior Living, LLC was last updated on November 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.