NELISHA FAMILY HOME LLC – NPI #1134563562
Assisted Living Facility

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.

NELISHA FAMILY HOME LLC is an assisted living facility located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1134563562 to NELISHA FAMILY HOME LLC on April 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. NELISHA FAMILY HOME LLC is also known by the name ASSISTED LIVING FACILILTY. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 7 years ago on Dec 14, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NELISHA FAMILY HOME LLC below.

NPI Profile for
NELISHA FAMILY HOME LLC

NPI Number
1134563562
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NELISHA FAMILY HOME LLC
Other Name: ASSISTED LIVING FACILILTY
Primary location
3871 SW RAMSPECK ST
PORT SAINT LUCIE, FL 34953
Phone: (772) 340-4671 Fax: (772) 264-0592
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MONICA BROWN
ADMINISTRATOR
Phone: (772) 340-4671
Updated
Identifiers

Identifiers for NELISHA FAMILY HOME LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFLFL024319000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
FL 12437

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.