Provider Demographics
NPI:1285331330
Name:THE HOUSE OF CARES ALF INC. AT MEADOWLARK
Entity type:Organization
Organization Name:THE HOUSE OF CARES ALF INC. AT MEADOWLARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FILICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-667-3361
Mailing Address - Street 1:1042 SW HALEYBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6750
Mailing Address - Country:US
Mailing Address - Phone:561-667-3361
Mailing Address - Fax:
Practice Address - Street 1:151 MEADOWLARK DR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2966
Practice Address - Country:US
Practice Address - Phone:561-667-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility