Healthcare Provider Details

I. General information

NPI: 1306792296
Provider Name (Legal Business Name): INSPIRE AT SAINT LUCIE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 SW KASIN ST
PORT ST LUCIE FL
34953-3806
US

IV. Provider business mailing address

3651 SW KASIN ST
PORT ST LUCIE FL
34953-3806
US

V. Phone/Fax

Practice location:
  • Phone: 772-212-3095
  • Fax: 772-343-1652
Mailing address:
  • Phone: 772-212-3095
  • Fax: 772-343-1652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH JEAN-BAPTISTE
Title or Position: DIRECTOR
Credential:
Phone: 772-212-3095