Healthcare Provider Details

I. General information

NPI: 1275489593
Provider Name (Legal Business Name): AWARD CARE AT ST LUCIE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S 13TH ST
FORT PIERCE FL
34950-4054
US

IV. Provider business mailing address

611 S 13TH ST
FORT PIERCE FL
34950-4054
US

V. Phone/Fax

Practice location:
  • Phone: 772-464-5262
  • Fax:
Mailing address:
  • Phone: 772-464-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: YISROEL GELBSTEIN
Title or Position: CEO
Credential:
Phone: 772-464-5262