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LAKE FOREST PARK
NPI 1902231350
Assisted Living Facility in Fort Pierce, FL

Active since September 04, 2013
2909 S 25TH ST, FORT PIERCE, FL 34981(772) 466-1919(772) 466-1938 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Forest Park NPPES

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

LAKE FOREST PARK (NPI 1902231350) is a healthcare organization registered as an assisted living facility in Fort Pierce, Florida and active in the NPI registry since September 2013. The organization lists Tracy Mckinnie, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902231350
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTARANTINO SENIOR LIVING COMMUNITIES, LLC
Location Address2909 S 25TH STFort Pierce, FL 34981-5610
Mailing Address2909 S 25th StFort Pierce, FL 34981-5610 · (772) 466-1919 · Fax (772) 466-1938
Phone(772) 466-1919
Fax(772) 466-1938
Organization SubpartNo
Authorized OfficialTracy MckinnieExecutive Director · (772) 466-1919
Enumeration DateSeptember 4, 2013
Last NPPES UpdateJanuary 6, 2015
✔ NPI 1902231350 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 · AL#9993
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.
2909 S 25TH ST, Fort Pierce, FL 34981
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Other Names 1

Doing Business AsLake Forest Park

Other Providers at the Same Location NPPES

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

GV FORT PIERCE OPCO LLC
Assisted Living Facility
2909 S 25TH ST
FORT PIERCE, FL 34981
St. Lucie County (772) 466-1919

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 Tarantino Senior Living Communities, LLC's NPI number?

The NPI number for Tarantino Senior Living Communities, LLC is 1902231350. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as Lake Forest Park.

Where is Tarantino Senior Living Communities, LLC located?

Tarantino Senior Living Communities, LLC is located at 2909 S 25th St, Fort Pierce, FL 34981. The listed phone number is (772) 466-1919.

What is Tarantino Senior Living Communities, 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 Tarantino Senior Living Communities, LLC was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.