MEDICARE: BLESSINGS ASSISTED LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1598224669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSINGS ASSISTED LIVING

Provider Business Mailing Address
First Line	:	2449 SW HUMBER CT
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-2133
Country	:	US
Telephone Number	:	772-359-7864
Fax Number	:

Provider Business Practice Location Address
First Line	:	2449 SW HUMBER CT
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-2133
Country	:	US
Telephone Number	:	772-359-7864
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. EMILIA SIROT
Credential	:
Telephone Number	:	772-359-7864

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	03/18/2019

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Directions to “BLESSINGS ASSISTED LIVING ” Practice Location

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