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VITALITY STAR RESORT ALF LLC
NPI 1760958847
Assisted Living Facility - Assisted Living, Mental Illness in Port St Lucie, FL

Active since October 16, 2018
591 SW BRADSHAW CIR, PORT ST LUCIE, FL 34953(772) 207-7947 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitality Star Resort Alf Llc NPPES

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

VITALITY STAR RESORT ALF LLC (NPI 1760958847), doing business as Vitality Star Resort, is a healthcare organization registered as an assisted living, mental illness in Port St Lucie, Florida and active in the NPI registry since October 2018. The organization lists Christella Dorval, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760958847
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameVITALITY STAR RESORT ALF LLC
Location Address591 SW BRADSHAW CIRPort St Lucie, FL 34953-5539
Mailing Address11380 Sw Hillcrest CirPort St Lucie, FL 34987-2704 · (772) 539-0405
Phone(772) 207-7947
Organization SubpartNo
Authorized OfficialChristella DorvalAdministrator · (772) 207-7947
Enumeration DateOctober 16, 2018
✔ NPI 1760958847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
591 SW BRADSHAW CIR, Port St Lucie, FL 34953
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Other Names 1

Doing Business AsVitality Star Resort

Other Identifiers 1

Medicaid023404800FL

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 Vitality Star Resort Alf LLC's NPI number?

The NPI number for Vitality Star Resort Alf LLC is 1760958847. It was assigned to this organization in the NPPES registry on October 16, 2018. The provider is doing business as Vitality Star Resort.

Where is Vitality Star Resort Alf LLC located?

Vitality Star Resort Alf LLC is located at 591 SW Bradshaw Cir, Port St Lucie, FL 34953. The listed phone number is (772) 207-7947.

What is Vitality Star Resort Alf LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Vitality Star Resort Alf LLC was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.