HEAVENLY ADULT CARE LLC
NPI 1659857001
Assisted Living Facility in Port St Lucie, FL

Active since July 18, 2018
3934 SW KAKOPO ST, PORT ST LUCIE, FL 34953(772) 626-9539 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heavenly Adult Care Llc NPPES

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

HEAVENLY ADULT CARE LLC (NPI 1659857001) is a healthcare organization registered as an assisted living facility in Port St Lucie, Florida and active in the NPI registry since July 2018. The organization lists Sonia Reid, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659857001
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEAVENLY ADULT CARE LLC
Location Address3934 SW KAKOPO STPort St Lucie, FL 34953-3631
Mailing Address3934 Sw Kakopo StPort St Lucie, FL 34953-3631 · (772) 626-9539
Organization SubpartNo
Authorized OfficialSonia ReidAdministrator · (772) 626-9539
Enumeration DateJuly 18, 2018
NPI 1659857001 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 · 13020
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.

3934 SW KAKOPO ST, Port St Lucie, FL 34953

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 Heavenly Adult Care LLC's NPI number?

The NPI number for Heavenly Adult Care LLC is 1659857001. It was assigned to this organization in the NPPES registry on July 18, 2018.

Where is Heavenly Adult Care LLC located?

Heavenly Adult Care LLC is located at 3934 SW Kakopo St, Port St Lucie, FL 34953. The listed phone number is (772) 626-9539.

What is Heavenly Adult Care 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 Heavenly Adult Care LLC was last updated on July 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.